Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,600.47 / $5,045.00 / $6,915.00	Facility		$1,600.47	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,428.42 / $1,746.53 / $4,151.97	Professional		$1,428.42	$1,746.53	$4,151.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,226.13 / $6,105.48 / $13,137.87	Facility		$2,226.13	$6,105.48	$13,137.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,453.55 / $2,054.92 / $3,734.99	Professional		$1,453.55	$2,054.92	$3,734.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,751.66 / $3,025.17 / $4,645.80	Facility		$2,751.66	$3,025.17	$4,645.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,604.52 / $2,409.36 / $3,939.62	Professional		$1,604.52	$2,409.36	$3,939.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,441.44 / $1,873.87 / $3,162.71	Professional		$1,441.44	$1,873.87	$3,162.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,223.92 / $2,390.88 / $2,696.67	Professional		$2,223.92	$2,390.88	$2,696.67
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,629.00 / $10,000.00	Facility		$607.00	$3,629.00	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,531.43 / $2,146.67 / $3,605.86	Professional		$1,531.43	$2,146.67	$3,605.86