Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,485.96 / $2,485.96 / $2,485.96	Facility		$2,485.96	$2,485.96	$2,485.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,396.11 / $2,485.96 / $2,858.87	Professional		$2,396.11	$2,485.96	$2,858.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.95 / $823.73 / $2,495.94	Facility		$346.95	$823.73	$2,495.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,495.94 / $2,845.38 / $2,845.38	Professional		$2,495.94	$2,845.38	$2,845.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,545.87 / $2,620.75 / $3,669.05	Facility		$2,545.87	$2,620.75	$3,669.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,545.87 / $2,545.87 / $2,545.87	Facility		$2,545.87	$2,545.87	$2,545.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,545.87 / $2,545.87 / $2,545.87	Professional		$2,545.87	$2,545.87	$2,545.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $532.52 / $2,545.87 / $3,702.72	Professional		$532.52	$2,545.87	$3,702.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $518.29 / $624.60	Professional		$27.40	$518.29	$624.60
United Facility/Professional Professional Modifier Low / Median / High Price $2,495.94 / $2,645.71 / $3,194.82	Professional		$2,495.94	$2,645.71	$3,194.82