Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,167.60 / $5,045.00 / $6,915.00	Facility		$1,167.60	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,037.58 / $1,278.50 / $2,595.14	Professional		$1,037.58	$1,278.50	$2,595.14
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 $1,126.74 / $1,734.07 / $3,311.36	Professional		$1,126.74	$1,734.07	$3,311.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,651.63 / $1,651.63 / $1,651.63	Facility		$1,651.63	$1,651.63	$1,651.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,409.80 / $57,200.00	Facility		$500.00	$1,409.80	$57,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,166.75 / $1,865.51 / $3,330.16	Professional		$1,166.75	$1,865.51	$3,330.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,439.73 / $1,877.91 / $3,620.58	Professional		$1,439.73	$1,877.91	$3,620.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,251.94 / $1,815.31 / $2,316.09	Professional		$1,251.94	$1,815.31	$2,316.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,303.00 / $10,133.00 / $20,037.00	Facility		$2,303.00	$10,133.00	$20,037.00
United Facility/Professional Professional Modifier Low / Median / High Price $996.85 / $1,550.11 / $2,911.26	Professional		$996.85	$1,550.11	$2,911.26