Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.00 / $5,063.00 / $7,421.00	Facility		$1,791.00	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,072.20 / $1,297.50 / $2,728.88	Professional		$1,072.20	$1,297.50	$2,728.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $5,155.99 / $21,657.35	Facility		$1,282.27	$5,155.99	$21,657.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,183.84 / $1,767.85 / $3,062.88	Professional		$1,183.84	$1,767.85	$3,062.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,075.60 / $2,480.13 / $3,373.71	Facility		$2,075.60	$2,480.13	$3,373.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,346.78 / $2,500.00	Facility		$500.00	$1,346.78	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,261.59 / $1,913.23 / $3,054.67	Professional		$1,261.59	$1,913.23	$3,054.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,295.15 / $1,886.21 / $3,384.72	Professional		$1,295.15	$1,886.21	$3,384.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,179.64 / $1,794.92 / $2,350.73	Professional		$1,179.64	$1,794.92	$2,350.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,059.24 / $1,740.47 / $2,767.50	Professional		$1,059.24	$1,740.47	$2,767.50