Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.03 / $5,045.00 / $6,915.00	Facility		$1,628.03	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,402.91 / $1,789.34 / $3,559.65	Professional		$1,402.91	$1,789.34	$3,559.65
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 $1,556.69 / $2,284.35 / $4,383.93	Professional		$1,556.69	$2,284.35	$4,383.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,325.33 / $2,325.33 / $2,325.33	Facility		$2,325.33	$2,325.33	$2,325.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,828.45 / $57,200.00	Facility		$500.00	$1,828.45	$57,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,607.38 / $2,504.96 / $4,307.75	Professional		$1,607.38	$2,504.96	$4,307.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,862.37 / $2,591.12 / $4,683.39	Professional		$1,862.37	$2,591.12	$4,683.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,619.45 / $2,348.19 / $2,995.98	Professional		$1,619.45	$2,348.19	$2,995.98
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 $1,407.61 / $2,107.59 / $3,872.66	Professional		$1,407.61	$2,107.59	$3,872.66