Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,734.94 / $5,045.00 / $6,915.00	Facility		$1,734.94	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,717.43 / $2,017.48 / $4,199.45	Professional		$1,717.43	$2,017.48	$4,199.45
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 $1,985.51 / $2,791.85 / $5,240.49	Professional		$1,985.51	$2,791.85	$5,240.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,790.25 / $4,114.80 / $6,319.16	Facility		$3,790.25	$4,114.80	$6,319.16
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 $2,257.55 / $3,422.32 / $5,083.47	Professional		$2,257.55	$3,422.32	$5,083.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,985.51 / $2,581.16 / $4,848.97	Professional		$1,985.51	$2,581.16	$4,848.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,084.79 / $2,878.99 / $3,340.77	Professional		$2,084.79	$2,878.99	$3,340.77
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 $2,100.17 / $2,752.11 / $5,077.03	Professional		$2,100.17	$2,752.11	$5,077.03