Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $5,370.32 / $9,549.93	Facility		$3,467.37	$5,370.32	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,454.71 / $4,365.16	Professional		$2,041.74	$2,454.71	$4,365.16
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 $2,238.72 / $3,801.89 / $5,623.41	Professional		$2,238.72	$3,801.89	$5,623.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
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 $1,778.28 / $3,090.30 / $5,128.61	Professional		$1,778.28	$3,090.30	$5,128.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,884.03 / $5,754.40	Professional		$2,187.76	$2,884.03	$5,754.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $4,365.16 / $5,495.41	Professional		$15.14	$4,365.16	$5,495.41
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 $2,089.30 / $2,818.38 / $4,897.79	Professional		$2,089.30	$2,818.38	$4,897.79