Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,153.07 / $5,063.00 / $7,421.00	Facility		$2,153.07	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,670.68 / $2,100.65 / $4,165.85	Professional		$1,670.68	$2,100.65	$4,165.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,634.62 / $5,292.58	Facility		$964.00	$2,634.62	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,227.83 / $2,427.08 / $4,714.39	Professional		$1,227.83	$2,427.08	$4,714.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,844.13 / $1,844.13 / $1,844.13	Facility		$1,844.13	$1,844.13	$1,844.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,153.31 / $1,875.00 / $1,979.68	Facility		$1,153.31	$1,875.00	$1,979.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,551.97 / $2,712.72 / $4,576.33	Professional		$1,551.97	$2,712.72	$4,576.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,800.82 / $2,619.38 / $10,969.00	Professional		$1,800.82	$2,619.38	$10,969.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,712.23 / $2,652.45 / $3,144.48	Professional		$1,712.23	$2,652.45	$3,144.48
United Facility/Professional Facility Modifier Low / Median / High Price $426.00 / $2,360.00 / $4,066.00	Facility		$426.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,576.63 / $2,411.32 / $4,165.79	Professional		$1,576.63	$2,411.32	$4,165.79