Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,243.67 / $5,045.00 / $6,915.00	Facility		$1,243.67	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,208.81 / $1,386.95 / $3,372.40	Professional		$1,208.81	$1,386.95	$3,372.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,732.27 / $6,959.71 / $17,687.80	Facility		$1,732.27	$6,959.71	$17,687.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,303.24 / $1,824.53 / $3,289.85	Professional		$1,303.24	$1,824.53	$3,289.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,476.32 / $2,707.86 / $4,158.51	Facility		$2,476.32	$2,707.86	$4,158.51
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 $1,389.39 / $2,156.50 / $3,367.91	Professional		$1,389.39	$2,156.50	$3,367.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,297.21 / $1,686.37 / $2,776.88	Professional		$1,297.21	$1,686.37	$2,776.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,285.79 / $2,072.98 / $2,548.69	Professional		$1,285.79	$2,072.98	$2,548.69
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 $1,340.31 / $1,886.93 / $2,888.37	Professional		$1,340.31	$1,886.93	$2,888.37