Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $5,370.32 / $9,549.93	Facility		$2,041.74	$5,370.32	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $2,511.89	Professional		$1,202.26	$1,445.44	$2,511.89
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 $1,318.26 / $2,089.30 / $3,311.31	Professional		$1,318.26	$2,089.30	$3,311.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
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 $1,047.13 / $1,737.80 / $3,019.95	Professional		$1,047.13	$1,737.80	$3,019.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $3,019.95	Professional		$1,258.93	$1,659.59	$3,019.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $2,511.89 / $3,311.31	Professional		$7.08	$2,511.89	$3,311.31
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 $1,202.26 / $1,584.89 / $2,818.38	Professional		$1,202.26	$1,584.89	$2,818.38