Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $6,014.00 / $15,000.00	Facility		$2,800.00	$6,014.00	$15,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,809.39 / $2,290.07 / $5,101.63	Professional		$1,809.39	$2,290.07	$5,101.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $8,102.00 / $55,752.34	Facility		$1,282.27	$8,102.00	$55,752.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,997.29 / $2,912.18 / $5,167.42	Professional		$1,997.29	$2,912.18	$5,167.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,206.93 / $3,206.93 / $3,206.93	Facility		$3,206.93	$3,206.93	$3,206.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,274.10 / $2,500.00	Facility		$500.00	$2,274.10	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,150.25 / $3,299.49 / $5,157.28	Professional		$2,150.25	$3,299.49	$5,157.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,185.96 / $3,358.44 / $5,248.14	Professional		$2,185.96	$3,358.44	$5,248.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,902.76 / $2,782.14 / $3,546.51	Professional		$1,902.76	$2,782.14	$3,546.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,303.00 / $10,133.00 / $20,037.00	Facility		$2,303.00	$10,133.00	$20,037.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,825.23 / $2,919.98 / $4,720.68	Professional		$1,825.23	$2,919.98	$4,720.68