Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,370.32 / $9,549.93	Facility		$4,168.69	$5,370.32	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,019.95 / $5,011.87	Professional		$2,454.71	$3,019.95	$5,011.87
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 $2,630.27 / $4,265.80 / $6,606.93	Professional		$2,630.27	$4,265.80	$6,606.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89
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 $2,137.96 / $3,548.13 / $6,165.95	Professional		$2,137.96	$3,548.13	$6,165.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,388.44 / $6,760.83	Professional		$2,630.27	$3,388.44	$6,760.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $4,897.79 / $6,760.83	Professional		$15.14	$4,897.79	$6,760.83
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 $2,454.71 / $3,235.94 / $5,754.40	Professional		$2,454.71	$3,235.94	$5,754.40