Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,867.44 / $5,063.00 / $6,915.00	Facility		$1,867.44	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,851.06 / $2,172.52 / $4,812.00	Professional		$1,851.06	$2,172.52	$4,812.00
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 $2,145.30 / $3,004.41 / $5,256.44	Professional		$2,145.30	$3,004.41	$5,256.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,078.95 / $4,430.18 / $6,803.49	Facility		$4,078.95	$4,430.18	$6,803.49
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 $2,427.48 / $3,685.06 / $5,526.22	Professional		$2,427.48	$3,685.06	$5,526.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,136.73 / $2,777.76 / $6,077.64	Professional		$2,136.73	$2,777.76	$6,077.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,243.58 / $3,098.27 / $3,589.59	Professional		$2,243.58	$3,098.27	$3,589.59
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 $2,283.09 / $3,214.28 / $4,893.78	Professional		$2,283.09	$3,214.28	$4,893.78