Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,038.55 / $1,038.55 / $2,466.98	Facility		$1,038.55	$1,038.55	$2,466.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $983.89 / $1,167.04 / $1,626.60	Professional		$983.89	$1,167.04	$1,626.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,186.92 / $3,061.69 / $8,026.00	Facility		$2,186.92	$3,061.69	$8,026.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,181.67 / $1,818.38 / $3,491.29	Professional		$1,181.67	$1,818.38	$3,491.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,804.55 / $1,858.88 / $4,045.80	Facility		$1,804.55	$1,858.88	$4,045.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,858.88 / $1,858.88 / $1,858.88	Professional		$1,858.88	$1,858.88	$1,858.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,540.39 / $1,540.39 / $1,540.39	Facility		$1,540.39	$1,540.39	$1,540.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,124.48 / $1,124.48 / $2,521.50	Professional		$1,124.48	$1,124.48	$2,521.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,662.06 / $2,186.92 / $3,165.00	Professional		$1,662.06	$2,186.92	$3,165.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,717.76 / $3,792.12 / $4,126.72	Professional		$3,717.76	$3,792.12	$4,126.72
United Facility/Professional Professional Modifier Low / Median / High Price $727.35 / $1,091.03 / $1,800.00	Professional		$727.35	$1,091.03	$1,800.00