Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,885.86 / $5,063.00 / $7,421.00	Facility		$2,885.86	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,525.92 / $3,120.89 / $6,916.66	Professional		$2,525.92	$3,120.89	$6,916.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $5,155.99 / $39,007.80	Facility		$1,282.27	$5,155.99	$39,007.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,690.89 / $3,923.19 / $7,205.25	Professional		$2,690.89	$3,923.19	$7,205.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,200.64 / $4,200.64 / $4,200.64	Facility		$4,200.64	$4,200.64	$4,200.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,500.00 / $3,176.17	Facility		$500.00	$2,500.00	$3,176.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,635.05 / $4,404.08 / $7,210.27	Professional		$2,635.05	$4,404.08	$7,210.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,046.24 / $4,449.00 / $10,335.10	Professional		$3,046.24	$4,449.00	$10,335.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,901.49 / $4,901.49 / $4,984.75	Professional		$4,901.49	$4,901.49	$4,984.75
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 $2,506.51 / $3,831.25 / $6,291.87	Professional		$2,506.51	$3,831.25	$6,291.87