Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,362.21 / $6,014.00 / $9,488.00	Facility		$2,362.21	$6,014.00	$9,488.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,847.87 / $2,513.78 / $4,872.24	Professional		$1,847.87	$2,513.78	$4,872.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,361.69 / $9,558.66 / $55,752.34	Facility		$2,361.69	$9,558.66	$55,752.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,149.65 / $3,296.48 / $5,715.10	Professional		$2,149.65	$3,296.48	$5,715.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,137.96 / $3,137.96 / $3,137.96	Facility		$3,137.96	$3,137.96	$3,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,500.00 / $2,653.28	Facility		$500.00	$2,500.00	$2,653.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,149.65 / $3,448.69 / $5,941.75	Professional		$2,149.65	$3,448.69	$5,941.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,579.85 / $3,752.51 / $8,555.00	Professional		$2,579.85	$3,752.51	$8,555.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,836.03 / $4,115.93 / $4,357.82	Professional		$3,836.03	$4,115.93	$4,357.82
United Facility/Professional Facility Modifier Low / Median / High Price $3,800.00 / $9,588.00 / $18,000.00	Facility		$3,800.00	$9,588.00	$18,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,978.43 / $2,897.35 / $5,341.13	Professional		$1,978.43	$2,897.35	$5,341.13