Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,210.33 / $5,045.00 / $6,915.00	Facility		$1,210.33	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,076.01 / $1,213.79 / $2,936.26	Professional		$1,076.01	$1,213.79	$2,936.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,538.99 / $5,916.00 / $17,934.25	Facility		$1,538.99	$5,916.00	$17,934.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,246.90 / $1,770.59 / $3,154.65	Professional		$1,246.90	$1,770.59	$3,154.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,347.69 / $2,570.15 / $3,947.01	Facility		$2,347.69	$2,570.15	$3,947.01
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 $1,323.20 / $2,082.30 / $3,209.84	Professional		$1,323.20	$2,082.30	$3,209.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,229.83 / $1,598.78 / $3,238.28	Professional		$1,229.83	$1,598.78	$3,238.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,982.56 / $1,982.56 / $1,992.32	Professional		$1,982.56	$1,982.56	$1,992.32
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 $1,282.49 / $1,667.34 / $2,847.57	Professional		$1,282.49	$1,667.34	$2,847.57