Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,509.82 / $5,063.00 / $6,915.00	Facility		$1,509.82	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,280.07 / $1,592.67 / $3,146.35	Professional		$1,280.07	$1,592.67	$3,146.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $5,516.40 / $12,227.65	Facility		$1,206.01	$5,516.40	$12,227.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,310.51 / $2,000.67 / $3,759.44	Professional		$1,310.51	$2,000.67	$3,759.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,400.17 / $3,014.60 / $4,172.35	Facility		$2,400.17	$3,014.60	$4,172.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,000.00 / $1,662.01	Facility		$500.00	$1,000.00	$1,662.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,126.41 / $2,023.57 / $3,761.20	Professional		$1,126.41	$2,023.57	$3,761.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,601.74 / $2,058.44 / $3,609.49	Professional		$1,601.74	$2,058.44	$3,609.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.12 / $2,548.23 / $2,621.03	Professional		$2,238.12	$2,548.23	$2,621.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,177.03 / $1,728.90 / $3,304.88	Professional		$1,177.03	$1,728.90	$3,304.88