Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,773.81 / $5,063.00 / $7,421.00	Facility		$1,773.81	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,092.80 / $1,315.61 / $2,676.74	Professional		$1,092.80	$1,315.61	$2,676.74
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 $1,210.30 / $1,740.16 / $3,148.37	Professional		$1,210.30	$1,740.16	$3,148.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,122.94 / $2,552.03 / $3,471.50	Facility		$2,122.94	$2,552.03	$3,471.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,378.21 / $2,500.00	Facility		$500.00	$1,378.21	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,262.34 / $1,930.79 / $3,103.64	Professional		$1,262.34	$1,930.79	$3,103.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,332.68 / $1,877.29 / $3,100.17	Professional		$1,332.68	$1,877.29	$3,100.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,747.13 / $2,139.56 / $5,151.85	Professional		$1,747.13	$2,139.56	$5,151.85
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 $1,076.05 / $1,645.72 / $2,762.25	Professional		$1,076.05	$1,645.72	$2,762.25