Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,087.85 / $1,087.85 / $2,584.10	Facility		$1,087.85	$1,087.85	$2,584.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,030.59 / $1,305.11 / $1,819.79	Professional		$1,030.59	$1,305.11	$1,819.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,290.73 / $3,207.04 / $8,407.02	Facility		$2,290.73	$3,207.04	$8,407.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,205.06 / $1,904.71 / $3,657.04	Professional		$1,205.06	$1,904.71	$3,657.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,711.86 / $2,028.99 / $4,237.87	Facility		$1,711.86	$2,028.99	$4,237.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,947.13 / $1,947.13 / $1,947.13	Professional		$1,947.13	$1,947.13	$1,947.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,544.16 / $1,544.16 / $1,544.16	Facility		$1,544.16	$1,544.16	$1,544.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,127.24 / $1,510.97 / $2,690.89	Professional		$1,127.24	$1,510.97	$2,690.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,740.96 / $2,290.73 / $3,182.62	Professional		$1,740.96	$2,290.73	$3,182.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,832.11 / $2,863.43 / $2,920.69	Professional		$2,832.11	$2,863.43	$2,920.69
United Facility/Professional Professional Modifier Low / Median / High Price $761.88 / $1,142.83 / $1,982.11	Professional		$761.88	$1,142.83	$1,982.11