Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,112.45 / $1,112.45 / $2,642.53	Facility		$1,112.45	$1,112.45	$2,642.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,053.90 / $1,213.69 / $1,742.30	Professional		$1,053.90	$1,213.69	$1,742.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,342.54 / $3,279.56 / $8,597.12	Facility		$2,342.54	$3,279.56	$8,597.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,232.30 / $1,887.00 / $3,739.72	Professional		$1,232.30	$1,887.00	$3,739.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,932.95 / $1,991.16 / $4,333.70	Facility		$1,932.95	$1,991.16	$4,333.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,991.16 / $1,991.16 / $1,991.16	Professional		$1,991.16	$1,991.16	$1,991.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,300.55 / $1,300.55 / $1,300.55	Facility		$1,300.55	$1,300.55	$1,300.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $949.40 / $949.40 / $2,780.94	Professional		$949.40	$949.40	$2,780.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,780.33 / $2,342.54 / $3,254.32	Professional		$1,780.33	$2,342.54	$3,254.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,896.15 / $2,928.18 / $2,986.74	Professional		$2,896.15	$2,928.18	$2,986.74
United Facility/Professional Professional Modifier Low / Median / High Price $779.11 / $1,168.66 / $1,928.09	Professional		$779.11	$1,168.66	$1,928.09