Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,981.98 / $6,014.00 / $12,464.00	Facility		$2,981.98	$6,014.00	$12,464.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,950.62 / $2,439.58 / $4,754.66	Professional		$1,950.62	$2,439.58	$4,754.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,361.69 / $12,326.53 / $55,752.34	Facility		$2,361.69	$12,326.53	$55,752.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,188.69 / $3,211.92 / $5,662.65	Professional		$2,188.69	$3,211.92	$5,662.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,478.98 / $3,478.98 / $3,478.98	Facility		$3,478.98	$3,478.98	$3,478.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,490.91 / $2,500.00	Facility		$500.00	$2,490.91	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,341.40 / $3,501.22 / $5,643.40	Professional		$2,341.40	$3,501.22	$5,643.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,395.33 / $3,680.09 / $5,897.35	Professional		$2,395.33	$3,680.09	$5,897.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,083.79 / $3,048.60 / $3,886.18	Professional		$2,083.79	$3,048.60	$3,886.18
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 $1,960.52 / $2,995.01 / $5,054.46	Professional		$1,960.52	$2,995.01	$5,054.46