Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,300.00 / $5,063.00 / $7,631.00	Facility		$2,300.00	$5,063.00	$7,631.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,363.84 / $1,607.69 / $3,750.65	Professional		$1,363.84	$1,607.69	$3,750.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,226.13 / $6,105.48 / $13,137.87	Facility		$2,226.13	$6,105.48	$13,137.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,529.92 / $2,332.11 / $3,931.89	Professional		$1,529.92	$2,332.11	$3,931.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,682.68 / $3,210.78 / $4,367.60	Facility		$2,682.68	$3,210.78	$4,367.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,740.42 / $2,500.00 / $41,600.00	Facility		$1,740.42	$2,500.00	$41,600.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,632.92 / $2,500.42 / $3,950.47	Professional		$1,632.92	$2,500.42	$3,950.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,676.69 / $2,576.00 / $8,886.00	Professional		$1,676.69	$2,576.00	$8,886.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,692.66 / $2,720.26 / $2,743.67	Professional		$2,692.66	$2,720.26	$2,743.67
United Facility/Professional Facility Modifier Low / Median / High Price $3,800.00 / $9,710.00 / $19,882.00	Facility		$3,800.00	$9,710.00	$19,882.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,388.26 / $2,301.16 / $3,456.47	Professional		$1,388.26	$2,301.16	$3,456.47