Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,533.61 / $5,045.00 / $6,915.00	Facility		$1,533.61	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,330.74 / $1,688.13 / $3,270.57	Professional		$1,330.74	$1,688.13	$3,270.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,361.69 / $8,967.21 / $21,657.35	Facility		$2,361.69	$8,967.21	$21,657.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,455.94 / $2,201.06 / $4,090.70	Professional		$1,455.94	$2,201.06	$4,090.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,327.64 / $2,327.64 / $2,327.64	Facility		$2,327.64	$2,327.64	$2,327.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,657.43 / $2,500.00	Facility		$500.00	$1,657.43	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,570.97 / $2,368.15 / $3,937.47	Professional		$1,570.97	$2,368.15	$3,937.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,666.41 / $2,448.89 / $4,227.05	Professional		$1,666.41	$2,448.89	$4,227.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,635.24 / $2,635.24 / $2,680.74	Professional		$2,635.24	$2,635.24	$2,680.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,162.00 / $3,372.00 / $8,133.00	Facility		$1,162.00	$3,372.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,338.10 / $2,043.40 / $3,766.59	Professional		$1,338.10	$2,043.40	$3,766.59