Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,547.51 / $5,063.00 / $7,421.00	Facility		$1,547.51	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,286.83 / $1,548.04 / $3,225.99	Professional		$1,286.83	$1,548.04	$3,225.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $5,155.99 / $21,657.35	Facility		$1,282.27	$5,155.99	$21,657.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,244.57 / $2,006.03 / $3,853.68	Professional		$1,244.57	$2,006.03	$3,853.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,050.52 / $3,090.99 / $4,279.05	Facility		$2,050.52	$3,090.99	$4,279.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,703.48 / $2,500.00	Facility		$500.00	$1,703.48	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,124.23 / $2,049.42 / $3,851.50	Professional		$1,124.23	$2,049.42	$3,851.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,642.71 / $1,885.15 / $3,701.79	Professional		$1,642.71	$1,885.15	$3,701.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,294.21 / $2,579.13 / $2,639.11	Professional		$2,294.21	$2,579.13	$2,639.11
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 $1,142.61 / $1,709.42 / $3,387.73	Professional		$1,142.61	$1,709.42	$3,387.73