Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,370.32 / $9,549.93	Facility		$2,137.96	$5,370.32	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $2,630.27	Professional		$1,258.93	$1,513.56	$2,630.27
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 $1,318.26 / $2,187.76 / $3,388.44	Professional		$1,318.26	$2,187.76	$3,388.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
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 $1,122.02 / $1,862.09 / $3,162.28	Professional		$1,122.02	$1,862.09	$3,162.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,737.80 / $3,235.94	Professional		$1,348.96	$1,737.80	$3,235.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $2,630.27 / $3,467.37	Professional		$7.08	$2,630.27	$3,467.37
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 $1,258.93 / $1,698.24 / $2,951.21	Professional		$1,258.93	$1,698.24	$2,951.21