Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,066.92 / $5,045.00 / $6,915.00	Facility		$2,066.92	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,387.48 / $1,675.78 / $3,305.35	Professional		$1,387.48	$1,675.78	$3,305.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $4,363.80 / $9,836.54	Facility		$1,282.27	$4,363.80	$9,836.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,537.93 / $2,220.90 / $3,978.98	Professional		$1,537.93	$2,220.90	$3,978.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,694.50 / $3,226.34 / $4,388.78	Facility		$2,694.50	$3,226.34	$4,388.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,747.00 / $2,500.00	Facility		$500.00	$1,747.00	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,643.48 / $2,447.55 / $3,948.93	Professional		$1,643.48	$2,447.55	$3,948.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,684.83 / $2,451.35 / $3,796.72	Professional		$1,684.83	$2,451.35	$3,796.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,220.55 / $2,645.24 / $2,833.57	Professional		$2,220.55	$2,645.24	$2,833.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $9,990.00	Facility		$1,519.00	$6,351.00	$9,990.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,372.45 / $2,099.85 / $3,474.58	Professional		$1,372.45	$2,099.85	$3,474.58