Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $6,456.54 / $15,848.93	Facility		$2,089.30	$6,456.54	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,412.54 / $2,511.89	Professional		$1,174.90	$1,412.54	$2,511.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $5,011.87 / $22,908.68	Facility		$1,174.90	$5,011.87	$22,908.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,137.96 / $3,235.94	Professional		$1,348.96	$2,137.96	$3,235.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $831.76 / $9,332.54	Facility		$501.19	$831.76	$9,332.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,698.24 / $2,951.21	Professional		$1,122.02	$1,698.24	$2,951.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,621.81 / $3,548.13	Professional		$1,258.93	$1,621.81	$3,548.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $2,454.71 / $3,235.94	Professional		$10.96	$2,454.71	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $4,677.35 / $15,848.93	Facility		$660.69	$4,677.35	$15,848.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $2,754.23	Professional		$1,174.90	$1,548.82	$2,754.23