Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,455.41 / $6,014.00 / $12,464.00	Facility		$2,455.41	$6,014.00	$12,464.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,728.48 / $2,161.08 / $4,255.09	Professional		$1,728.48	$2,161.08	$4,255.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $15,318.85 / $55,752.34	Facility		$1,282.27	$15,318.85	$55,752.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,931.79 / $2,810.52 / $5,193.91	Professional		$1,931.79	$2,810.52	$5,193.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,864.65 / $2,864.65 / $2,864.65	Facility		$2,864.65	$2,864.65	$2,864.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,248.63 / $5,845.00 / $9,852.00	Facility		$2,248.63	$5,845.00	$9,852.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,996.29 / $3,082.42 / $5,024.91	Professional		$1,996.29	$3,082.42	$5,024.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,191.79 / $3,338.36 / $4,966.37	Professional		$2,191.79	$3,338.36	$4,966.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,992.54 / $2,889.18 / $3,586.57	Professional		$1,992.54	$2,889.18	$3,586.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,303.00 / $10,133.00 / $25,511.00	Facility		$2,303.00	$10,133.00	$25,511.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,732.90 / $2,641.82 / $4,760.96	Professional		$1,732.90	$2,641.82	$4,760.96