Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,587.71 / $5,063.00 / $7,421.00	Facility		$2,587.71	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,169.69 / $2,747.57 / $5,438.55	Professional		$2,169.69	$2,747.57	$5,438.55
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 $2,140.21 / $3,368.85 / $6,419.44	Professional		$2,140.21	$3,368.85	$6,419.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,496.92 / $2,496.92 / $2,496.92	Facility		$2,496.92	$2,496.92	$2,496.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,500.00 / $2,847.41	Facility		$500.00	$2,500.00	$2,847.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,933.85 / $3,497.03 / $6,461.01	Professional		$1,933.85	$3,497.03	$6,461.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,732.59 / $3,868.34 / $9,270.95	Professional		$2,732.59	$3,868.34	$9,270.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,396.18 / $4,396.18 / $4,471.50	Professional		$4,396.18	$4,396.18	$4,471.50
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 $2,033.32 / $2,906.64 / $5,643.25	Professional		$2,033.32	$2,906.64	$5,643.25