Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,027.07 / $5,063.00 / $7,421.00	Facility		$2,027.07	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,433.46 / $1,892.05 / $3,644.46	Professional		$1,433.46	$1,892.05	$3,644.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $5,155.99 / $21,657.35	Facility		$1,282.27	$5,155.99	$21,657.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,608.43 / $2,462.90 / $4,322.75	Professional		$1,608.43	$2,462.90	$4,322.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,284.38 / $2,284.38 / $2,284.38	Facility		$2,284.38	$2,284.38	$2,284.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,012.44 / $2,500.00	Facility		$500.00	$2,012.44	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,573.67 / $2,405.54 / $4,486.52	Professional		$1,573.67	$2,405.54	$4,486.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,965.87 / $2,680.73 / $4,520.34	Professional		$1,965.87	$2,680.73	$4,520.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,901.68 / $3,167.88 / $3,425.40	Professional		$2,901.68	$3,167.88	$3,425.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,475.40 / $2,149.04 / $4,066.49	Professional		$1,475.40	$2,149.04	$4,066.49