Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,018.28 / $1,018.28 / $2,418.83	Facility		$1,018.28	$1,018.28	$2,418.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $964.21 / $1,286.25 / $1,507.67	Professional		$964.21	$1,286.25	$1,507.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,144.23 / $3,001.94 / $7,869.36	Facility		$2,144.23	$3,001.94	$7,869.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,184.82 / $1,782.89 / $3,423.15	Professional		$1,184.82	$1,782.89	$3,423.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,701.79 / $1,866.06 / $3,966.84	Facility		$1,701.79	$1,866.06	$3,966.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,822.60 / $1,822.60 / $1,822.60	Professional		$1,822.60	$1,822.60	$1,822.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,304.10 / $1,304.10 / $1,304.10	Facility		$1,304.10	$1,304.10	$1,304.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $952.00 / $1,304.10 / $2,545.13	Professional		$952.00	$1,304.10	$2,545.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,629.62 / $2,144.23 / $3,074.30	Professional		$1,629.62	$2,144.23	$3,074.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,650.98 / $3,645.21 / $4,046.17	Professional		$2,650.98	$3,645.21	$4,046.17
United Facility/Professional Professional Modifier Low / Median / High Price $713.16 / $1,069.73 / $1,764.87	Professional		$713.16	$1,069.73	$1,764.87