Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,925.00 / $5,595.00 / $10,897.00	Facility		$1,925.00	$5,595.00	$10,897.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,149.97 / $1,410.08 / $3,004.39	Professional		$1,149.97	$1,410.08	$3,004.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,226.13 / $6,478.48 / $15,489.38	Facility		$2,226.13	$6,478.48	$15,489.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,273.83 / $1,847.05 / $3,308.68	Professional		$1,273.83	$1,847.05	$3,308.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,233.01 / $2,683.26 / $3,650.01	Facility		$2,233.01	$2,683.26	$3,650.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,448.89 / $6,918.00 / $13,775.42	Facility		$1,448.89	$6,918.00	$13,775.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,324.05 / $2,010.77 / $3,302.18	Professional		$1,324.05	$2,010.77	$3,302.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,401.21 / $1,825.90 / $3,157.60	Professional		$1,401.21	$1,825.90	$3,157.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,272.09 / $1,956.64 / $2,499.66	Professional		$1,272.09	$1,956.64	$2,499.66
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 $1,114.58 / $1,730.08 / $2,889.25	Professional		$1,114.58	$1,730.08	$2,889.25