Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,576.50 / $5,063.00 / $7,421.00	Facility		$1,576.50	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,312.01 / $1,666.60 / $3,591.22	Professional		$1,312.01	$1,666.60	$3,591.22
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 $1,308.39 / $2,056.92 / $3,928.03	Professional		$1,308.39	$2,056.92	$3,928.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,279.90 / $3,151.64 / $4,361.97	Facility		$2,279.90	$3,151.64	$4,361.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,736.58 / $2,500.00	Facility		$500.00	$1,736.58	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.58 / $2,107.98 / $3,927.41	Professional		$1,174.58	$2,107.98	$3,927.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,674.53 / $2,155.92 / $3,773.53	Professional		$1,674.53	$2,155.92	$3,773.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,690.01 / $2,716.76 / $2,740.14	Professional		$2,690.01	$2,716.76	$2,740.14
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 $1,207.47 / $1,764.93 / $3,453.09	Professional		$1,207.47	$1,764.93	$3,453.09