Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,655.44 / $5,175.00 / $12,157.95	Facility		$1,655.44	$5,175.00	$12,157.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,066.58 / $1,307.70 / $2,866.03	Professional		$1,066.58	$1,307.70	$2,866.03
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 $1,184.43 / $1,722.74 / $3,064.38	Professional		$1,184.43	$1,722.74	$3,064.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,068.07 / $2,482.52 / $3,376.95	Facility		$2,068.07	$2,482.52	$3,376.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,342.78 / $2,500.00	Facility		$500.00	$1,342.78	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,252.29 / $1,875.20 / $3,031.23	Professional		$1,252.29	$1,875.20	$3,031.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,296.39 / $1,850.29 / $3,479.44	Professional		$1,296.39	$1,850.29	$3,479.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,084.60 / $2,084.60 / $2,121.37	Professional		$2,084.60	$2,084.60	$2,121.37
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 $1,050.05 / $1,701.22 / $2,710.41	Professional		$1,050.05	$1,701.22	$2,710.41