Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,276.82 / $5,045.00 / $6,915.00	Facility		$1,276.82	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,092.84 / $1,398.65 / $3,186.80	Professional		$1,092.84	$1,398.65	$3,186.80
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 $1,232.70 / $1,837.85 / $3,460.78	Professional		$1,232.70	$1,837.85	$3,460.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,912.51 / $1,912.51 / $1,912.51	Facility		$1,912.51	$1,912.51	$1,912.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,407.20 / $57,200.00	Facility		$500.00	$1,407.20	$57,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,311.77 / $1,997.94 / $3,278.99	Professional		$1,311.77	$1,997.94	$3,278.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,417.61 / $2,031.55 / $4,118.77	Professional		$1,417.61	$2,031.55	$4,118.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,177.34 / $1,725.78 / $2,241.21	Professional		$1,177.34	$1,725.78	$2,241.21
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 $1,103.98 / $1,705.78 / $3,203.39	Professional		$1,103.98	$1,705.78	$3,203.39