Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,808.98 / $5,137.00 / $10,897.00	Facility		$1,808.98	$5,137.00	$10,897.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,163.63 / $1,429.74 / $3,031.68	Professional		$1,163.63	$1,429.74	$3,031.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $7,258.37 / $23,169.33	Facility		$1,282.27	$7,258.37	$23,169.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,285.83 / $1,878.50 / $3,342.02	Professional		$1,285.83	$1,878.50	$3,342.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,259.03 / $2,708.54 / $3,684.39	Facility		$2,259.03	$2,708.54	$3,684.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,465.76 / $2,500.00	Facility		$500.00	$1,465.76	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,377.11 / $2,060.69 / $3,309.35	Professional		$1,377.11	$2,060.69	$3,309.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,414.41 / $2,046.10 / $3,187.36	Professional		$1,414.41	$2,046.10	$3,187.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,294.73 / $2,294.73 / $2,294.73	Professional		$2,294.73	$2,294.73	$2,294.73
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 $1,176.17 / $1,865.51 / $3,290.19	Professional		$1,176.17	$1,865.51	$3,290.19