Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,001.03 / $5,595.00 / $10,897.00	Facility		$2,001.03	$5,595.00	$10,897.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,500.69 / $1,844.24 / $4,060.10	Professional		$1,500.69	$1,844.24	$4,060.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,226.13 / $6,478.48 / $14,509.03	Facility		$2,226.13	$6,478.48	$14,509.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,663.56 / $2,439.36 / $4,304.00	Professional		$1,663.56	$2,439.36	$4,304.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,912.34 / $3,487.59 / $4,744.14	Facility		$2,912.34	$3,487.59	$4,744.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,889.38 / $6,918.00 / $10,047.00	Facility		$1,889.38	$6,918.00	$10,047.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,744.19 / $2,640.35 / $4,295.54	Professional		$1,744.19	$2,640.35	$4,295.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,821.24 / $2,481.94 / $4,104.14	Professional		$1,821.24	$2,481.94	$4,104.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,641.68 / $2,531.86 / $3,259.70	Professional		$1,641.68	$2,531.86	$3,259.70
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 $1,482.88 / $2,280.86 / $3,758.40	Professional		$1,482.88	$2,280.86	$3,758.40