Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,519.80 / $5,045.00 / $8,331.00	Facility		$1,519.80	$5,045.00	$8,331.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,504.28 / $1,764.47 / $4,214.22	Professional		$1,504.28	$1,764.47	$4,214.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,023.79 / $7,898.67 / $19,770.82	Facility		$2,023.79	$7,898.67	$19,770.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,741.20 / $2,455.29 / $4,608.72	Professional		$1,741.20	$2,455.29	$4,608.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,337.07 / $3,615.48 / $5,552.36	Facility		$3,337.07	$3,615.48	$5,552.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,985.36 / $3,029.78 / $4,960.87	Professional		$1,985.36	$3,029.78	$4,960.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,748.11 / $2,272.54 / $4,454.47	Professional		$1,748.11	$2,272.54	$4,454.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,835.52 / $2,534.76 / $2,965.03	Professional		$1,835.52	$2,534.76	$2,965.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,852.32 / $2,459.52 / $4,464.97	Professional		$1,852.32	$2,459.52	$4,464.97