Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,687.87 / $5,063.00 / $7,391.00	Facility		$2,687.87	$5,063.00	$7,391.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,872.68 / $2,309.17 / $5,109.29	Professional		$1,872.68	$2,309.17	$5,109.29
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 $2,035.80 / $3,055.64 / $5,352.11	Professional		$2,035.80	$3,055.64	$5,352.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,627.38 / $3,627.38 / $3,627.38	Facility		$3,627.38	$3,627.38	$3,627.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,355.71 / $2,500.00	Facility		$500.00	$2,355.71	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,948.65 / $3,322.50 / $5,339.54	Professional		$1,948.65	$3,322.50	$5,339.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,264.23 / $3,293.44 / $5,102.41	Professional		$2,264.23	$3,293.44	$5,102.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,640.85 / $3,640.85 / $3,705.12	Professional		$3,640.85	$3,640.85	$3,705.12
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 $1,857.45 / $3,093.89 / $4,791.50	Professional		$1,857.45	$3,093.89	$4,791.50