Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,443.80 / $5,063.00 / $9,488.00	Facility		$1,443.80	$5,063.00	$9,488.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,249.32 / $1,587.21 / $3,312.94	Professional		$1,249.32	$1,587.21	$3,312.94
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 $1,409.49 / $2,025.59 / $3,869.18	Professional		$1,409.49	$2,025.59	$3,869.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,083.78 / $2,083.78 / $2,083.78	Facility		$2,083.78	$2,083.78	$2,083.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,621.57 / $57,200.00	Facility		$500.00	$1,621.57	$57,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.71 / $2,270.40 / $3,823.18	Professional		$1,445.71	$2,270.40	$3,823.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,652.87 / $2,299.65 / $4,281.78	Professional		$1,652.87	$2,299.65	$4,281.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,437.28 / $2,084.06 / $2,658.97	Professional		$1,437.28	$2,084.06	$2,658.97
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,587.00 / $9,079.00	Facility		$625.00	$3,587.00	$9,079.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,225.70 / $1,867.54 / $3,649.62	Professional		$1,225.70	$1,867.54	$3,649.62