Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,816.97 / $5,063.00 / $7,647.00	Facility		$1,816.97	$5,063.00	$7,647.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,516.28 / $1,892.40 / $4,321.56	Professional		$1,516.28	$1,892.40	$4,321.56
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 $1,462.56 / $2,384.14 / $4,518.06	Professional		$1,462.56	$2,384.14	$4,518.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,543.73 / $3,629.00 / $5,015.39	Facility		$2,543.73	$3,629.00	$5,015.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,999.50 / $2,500.00	Facility		$500.00	$1,999.50	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,341.06 / $2,443.62 / $4,524.85	Professional		$1,341.06	$2,443.62	$4,524.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,925.37 / $2,347.21 / $4,338.80	Professional		$1,925.37	$2,347.21	$4,338.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,094.07 / $3,123.73 / $3,150.61	Professional		$3,094.07	$3,123.73	$3,150.61
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 $1,405.11 / $2,135.98 / $4,053.28	Professional		$1,405.11	$2,135.98	$4,053.28