Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $5,370.32 / $9,549.93	Facility		$1,258.93	$5,370.32	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,258.93 / $2,290.87	Professional		$1,023.29	$1,258.93	$2,290.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $3,162.28 / $6,606.93	Facility		$851.14	$3,162.28	$6,606.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,778.28 / $2,691.53	Professional		$1,047.13	$1,778.28	$2,691.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $616.60 / $831.76	Facility		$199.53	$616.60	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,479.11 / $2,630.27	Professional		$891.25	$1,479.11	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $2,691.53	Professional		$1,174.90	$1,513.56	$2,691.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $2,187.76 / $2,884.03	Professional		$5.01	$2,187.76	$2,884.03
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 $1,000.00 / $1,348.96 / $2,454.71	Professional		$1,000.00	$1,348.96	$2,454.71