Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,222.24 / $5,045.00 / $6,915.00	Facility		$1,222.24	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,160.46 / $1,400.91 / $2,852.00	Professional		$1,160.46	$1,400.91	$2,852.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,538.99 / $5,842.74 / $15,411.81	Facility		$1,538.99	$5,842.74	$15,411.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,193.96 / $1,683.48 / $3,231.05	Professional		$1,193.96	$1,683.48	$3,231.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,209.73 / $2,421.94 / $3,719.43	Facility		$2,209.73	$2,421.94	$3,719.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,351.04 / $2,014.63 / $3,344.42	Professional		$1,351.04	$2,014.63	$3,344.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,157.56 / $1,504.83 / $3,537.41	Professional		$1,157.56	$1,504.83	$3,537.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,784.23 / $1,898.78 / $2,141.48	Professional		$1,784.23	$1,898.78	$2,141.48
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,629.00 / $10,000.00	Facility		$607.00	$3,629.00	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,247.64 / $1,751.61 / $3,155.32	Professional		$1,247.64	$1,751.61	$3,155.32