Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,336.96 / $5,664.00 / $9,023.00	Facility		$2,336.96	$5,664.00	$9,023.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,610.99 / $2,003.55 / $4,623.60	Professional		$1,610.99	$2,003.55	$4,623.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $5,155.99 / $39,007.80	Facility		$1,282.27	$5,155.99	$39,007.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,832.90 / $2,621.83 / $4,845.20	Professional		$1,832.90	$2,621.83	$4,845.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,726.47 / $2,726.47 / $2,726.47	Facility		$2,726.47	$2,726.47	$2,726.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,097.92 / $2,500.00	Facility		$500.00	$2,097.92	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,860.29 / $2,895.89 / $4,751.84	Professional		$1,860.29	$2,895.89	$4,751.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,043.51 / $2,899.84 / $5,975.79	Professional		$2,043.51	$2,899.84	$5,975.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,296.02 / $3,296.02 / $3,343.93	Professional		$3,296.02	$3,296.02	$3,343.93
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 $1,615.10 / $2,462.96 / $4,230.99	Professional		$1,615.10	$2,462.96	$4,230.99