Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $5,370.32 / $9,549.93	Facility		$2,187.76	$5,370.32	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,621.81 / $2,818.38	Professional		$1,348.96	$1,621.81	$2,818.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $3,162.28 / $6,760.83	Facility		$851.14	$3,162.28	$6,760.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,290.87 / $3,548.13	Professional		$1,380.38	$2,290.87	$3,548.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $616.60 / $831.76	Facility		$398.11	$616.60	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,995.26 / $3,311.31	Professional		$1,288.25	$1,995.26	$3,311.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,862.09 / $3,630.78	Professional		$1,445.44	$1,862.09	$3,630.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $2,884.03 / $3,630.78	Professional		$15.14	$2,884.03	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $2,511.89 / $7,079.46	Facility		$398.11	$2,511.89	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $3,162.28	Professional		$1,318.26	$1,737.80	$3,162.28