Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,547.69 / $3,386.40 / $3,386.40	Facility		$2,547.69	$3,386.40	$3,386.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,264.00 / $3,386.40 / $3,523.21	Professional		$3,264.00	$3,386.40	$3,523.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,273.76 / $2,240.54 / $4,674.70	Facility		$1,273.76	$2,240.54	$4,674.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,400.00 / $3,672.00 / $3,876.00	Professional		$3,400.00	$3,672.00	$3,876.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $3,570.00 / $4,998.00	Facility		$3,468.00	$3,570.00	$4,998.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $3,468.00 / $3,468.00	Facility		$3,468.00	$3,468.00	$3,468.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,468.00 / $3,468.00 / $3,468.00	Professional		$3,468.00	$3,468.00	$3,468.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,265.36 / $3,885.00 / $6,936.00	Professional		$3,265.36	$3,885.00	$6,936.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,120.91 / $4,771.75 / $6,022.11	Professional		$3,120.91	$4,771.75	$6,022.11
United Facility/Professional Professional Modifier Low / Median / High Price $3,400.00 / $3,400.00 / $4,302.35	Professional		$3,400.00	$3,400.00	$4,302.35