Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,492.20 / $5,045.00 / $6,915.00	Facility		$1,492.20	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,417.98 / $1,709.75 / $3,534.00	Professional		$1,417.98	$1,709.75	$3,534.00
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 $1,435.88 / $2,057.69 / $4,006.10	Professional		$1,435.88	$2,057.69	$4,006.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,722.13 / $2,983.20 / $4,581.35	Facility		$2,722.13	$2,983.20	$4,581.35
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 $1,673.35 / $2,453.83 / $4,084.91	Professional		$1,673.35	$2,453.83	$4,084.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,425.97 / $1,853.76 / $4,383.34	Professional		$1,425.97	$1,853.76	$4,383.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,200.91 / $2,338.79 / $2,638.04	Professional		$2,200.91	$2,338.79	$2,638.04
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 $1,525.26 / $2,171.33 / $3,744.03	Professional		$1,525.26	$2,171.33	$3,744.03