Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,672.96 / $5,063.00 / $10,897.00	Facility		$1,672.96	$5,063.00	$10,897.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,123.38 / $1,356.54 / $2,653.25	Professional		$1,123.38	$1,356.54	$2,653.25
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 $1,204.03 / $1,743.64 / $3,200.83	Professional		$1,204.03	$1,743.64	$3,200.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,179.76 / $2,612.33 / $3,553.53	Facility		$2,179.76	$2,612.33	$3,553.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,413.76 / $2,500.00	Facility		$500.00	$1,413.76	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,248.26 / $1,970.51 / $3,195.63	Professional		$1,248.26	$1,970.51	$3,195.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,364.18 / $1,942.72 / $3,074.14	Professional		$1,364.18	$1,942.72	$3,074.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,192.01 / $2,192.01 / $2,232.29	Professional		$2,192.01	$2,192.01	$2,232.29
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 $1,091.10 / $1,666.48 / $2,852.18	Professional		$1,091.10	$1,666.48	$2,852.18