Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,079.44 / $1,079.44 / $2,564.12	Facility		$1,079.44	$1,079.44	$2,564.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,055.79 / $1,125.02 / $1,698.34	Professional		$1,055.79	$1,125.02	$1,698.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,273.02 / $3,182.23 / $8,341.98	Facility		$2,273.02	$3,182.23	$8,341.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,137.16 / $1,889.98 / $3,628.76	Professional		$1,137.16	$1,889.98	$3,628.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,604.36 / $1,932.07 / $4,205.09	Facility		$1,604.36	$1,932.07	$4,205.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,932.07 / $1,932.07 / $1,932.07	Professional		$1,932.07	$1,932.07	$1,932.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,179.41 / $1,179.41 / $1,179.41	Facility		$1,179.41	$1,179.41	$1,179.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $860.97 / $1,179.40 / $2,188.13	Professional		$860.97	$1,179.40	$2,188.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,727.50 / $2,273.02 / $3,158.27	Professional		$1,727.50	$2,273.02	$3,158.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,810.20 / $2,841.28 / $2,898.10	Professional		$2,810.20	$2,841.28	$2,898.10
United Facility/Professional Professional Modifier Low / Median / High Price $755.99 / $1,120.08 / $1,870.88	Professional		$755.99	$1,120.08	$1,870.88