Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,200.92 / $5,045.00 / $6,915.00	Facility		$1,200.92	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,032.53 / $1,268.82 / $2,447.29	Professional		$1,032.53	$1,268.82	$2,447.29
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 $1,158.92 / $1,764.29 / $3,158.98	Professional		$1,158.92	$1,764.29	$3,158.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,040.99 / $2,444.98 / $3,325.89	Facility		$2,040.99	$2,444.98	$3,325.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,324.04 / $2,500.00	Facility		$500.00	$1,324.04	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,177.61 / $1,891.86 / $2,992.17	Professional		$1,177.61	$1,891.86	$2,992.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,276.79 / $1,857.15 / $2,877.22	Professional		$1,276.79	$1,857.15	$2,877.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,052.19 / $2,052.19 / $2,089.29	Professional		$2,052.19	$2,052.19	$2,089.29
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 $1,036.55 / $1,697.88 / $2,691.87	Professional		$1,036.55	$1,697.88	$2,691.87