Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,816.97 / $5,063.00 / $7,421.00	Facility		$1,816.97	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,488.46 / $1,883.76 / $3,796.28	Professional		$1,488.46	$1,883.76	$3,796.28
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 $1,351.38 / $2,338.14 / $4,518.06	Professional		$1,351.38	$2,338.14	$4,518.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,135.69 / $3,629.00 / $5,015.39	Facility		$2,135.69	$3,629.00	$5,015.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,999.50 / $2,500.00	Facility		$500.00	$1,999.50	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,175.50 / $2,439.41 / $4,524.85	Professional		$1,175.50	$2,439.41	$4,524.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,925.37 / $2,434.67 / $4,338.80	Professional		$1,925.37	$2,434.67	$4,338.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,689.73 / $3,023.75 / $3,094.07	Professional		$2,689.73	$3,023.75	$3,094.07
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 $1,179.72 / $2,026.00 / $4,354.14	Professional		$1,179.72	$2,026.00	$4,354.14