Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $5,370.32 / $9,549.93	Facility		$2,511.89	$5,370.32	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,659.59 / $3,019.95	Professional		$1,380.38	$1,659.59	$3,019.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,801.89 / $10,000.00	Facility		$1,047.13	$3,801.89	$10,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,511.89 / $4,466.84	Professional		$1,621.81	$2,511.89	$4,466.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $616.60 / $831.76	Facility		$199.53	$616.60	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,089.30 / $3,388.44	Professional		$1,412.54	$2,089.30	$3,388.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $3,890.45	Professional		$1,445.44	$1,905.46	$3,890.45
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 $1,380.38 / $1,862.09 / $3,235.94	Professional		$1,380.38	$1,862.09	$3,235.94