Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $5,370.32 / $9,549.93	Facility		$2,511.89	$5,370.32	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,819.70 / $3,162.28	Professional		$1,513.56	$1,819.70	$3,162.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $3,162.28 / $6,760.83	Facility		$851.14	$3,162.28	$6,760.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,570.40 / $4,168.69	Professional		$1,621.81	$2,570.40	$4,168.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56
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 $1,318.26 / $2,187.76 / $3,715.35	Professional		$1,318.26	$2,187.76	$3,715.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,041.74 / $4,168.69	Professional		$1,584.89	$2,041.74	$4,168.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $3,090.30 / $4,073.80	Professional		$7.94	$3,090.30	$4,073.80
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 $1,479.11 / $1,995.26 / $3,548.13	Professional		$1,479.11	$1,995.26	$3,548.13