Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,762.42 / $5,045.00 / $6,915.00	Facility		$1,762.42	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,534.13 / $1,938.77 / $3,529.57	Professional		$1,534.13	$1,938.77	$3,529.57
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 $1,701.00 / $2,473.38 / $4,752.41	Professional		$1,701.00	$2,473.38	$4,752.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,554.56 / $2,554.56 / $2,554.56	Facility		$2,554.56	$2,554.56	$2,554.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,980.56 / $57,200.00	Facility		$500.00	$1,980.56	$57,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,783.24 / $2,736.17 / $4,659.39	Professional		$1,783.24	$2,736.17	$4,659.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,014.40 / $2,802.64 / $5,065.72	Professional		$2,014.40	$2,802.64	$5,065.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,751.65 / $2,539.89 / $3,240.55	Professional		$1,751.65	$2,539.89	$3,240.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,162.00 / $3,332.00 / $8,133.00	Facility		$1,162.00	$3,332.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,504.98 / $2,280.41 / $4,028.90	Professional		$1,504.98	$2,280.41	$4,028.90