Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,747.89 / $5,045.00 / $6,915.00	Facility		$1,747.89	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,518.30 / $1,922.63 / $3,499.12	Professional		$1,518.30	$1,922.63	$3,499.12
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 $1,564.29 / $2,452.11 / $4,710.43	Professional		$1,564.29	$2,452.11	$4,710.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,494.96 / $2,494.96 / $2,494.96	Facility		$2,494.96	$2,494.96	$2,494.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,963.51 / $57,200.00	Facility		$500.00	$1,963.51	$57,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,642.34 / $2,672.80 / $4,623.38	Professional		$1,642.34	$2,672.80	$4,623.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,998.83 / $2,780.98 / $5,026.56	Professional		$1,998.83	$2,780.98	$5,026.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,738.11 / $2,520.26 / $3,215.50	Professional		$1,738.11	$2,520.26	$3,215.50
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 $1,470.57 / $2,210.64 / $4,041.80	Professional		$1,470.57	$2,210.64	$4,041.80