Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $5,370.32 / $9,549.93	Facility		$2,754.23	$5,370.32	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,778.28 / $3,090.30	Professional		$1,479.11	$1,778.28	$3,090.30
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 $1,659.59 / $2,818.38 / $4,897.79	Professional		$1,659.59	$2,818.38	$4,897.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $588.84 / $831.76	Facility		$199.53	$588.84	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,290.87 / $3,630.78	Professional		$1,513.56	$2,290.87	$3,630.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,995.26 / $3,981.07	Professional		$1,548.82	$1,995.26	$3,981.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $3,162.28 / $3,890.45	Professional		$15.14	$3,162.28	$3,890.45
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 $1,513.56 / $1,995.26 / $3,467.37	Professional		$1,513.56	$1,995.26	$3,467.37