Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,008.73 / $1,008.73 / $2,506.46	Facility		$1,008.73	$1,008.73	$2,506.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,002.62 / $1,274.18 / $1,626.89	Professional		$1,002.62	$1,274.18	$1,626.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,124.12 / $2,973.77 / $7,795.52	Facility		$2,124.12	$2,973.77	$7,795.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,206.39 / $1,766.17 / $3,391.05	Professional		$1,206.39	$1,766.17	$3,391.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,805.50 / $2,124.12 / $4,163.28	Facility		$1,805.50	$2,124.12	$4,163.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,805.50 / $1,805.50 / $1,805.50	Professional		$1,805.50	$1,805.50	$1,805.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,327.28 / $1,327.28 / $1,327.28	Facility		$1,327.28	$1,327.28	$1,327.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $968.91 / $1,327.28 / $2,838.29	Professional		$968.91	$1,327.28	$2,838.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,614.33 / $2,124.12 / $3,261.03	Professional		$1,614.33	$2,124.12	$3,261.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,626.11 / $3,611.00 / $4,008.21	Professional		$2,626.11	$3,611.00	$4,008.21
United Facility/Professional Professional Modifier Low / Median / High Price $706.47 / $1,059.70 / $1,748.31	Professional		$706.47	$1,059.70	$1,748.31