Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,086.96 / $5,063.00 / $6,915.00	Facility		$3,086.96	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,687.37 / $3,409.28 / $6,231.90	Professional		$2,687.37	$3,409.28	$6,231.90
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 $2,987.52 / $4,321.60 / $8,342.76	Professional		$2,987.52	$4,321.60	$8,342.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,607.33 / $4,607.33 / $4,607.33	Facility		$4,607.33	$4,607.33	$4,607.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $3,468.26 / $57,200.00	Facility		$500.00	$3,468.26	$57,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,147.19 / $4,788.21 / $8,141.32	Professional		$3,147.19	$4,788.21	$8,141.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,519.75 / $4,897.04 / $8,851.29	Professional		$3,519.75	$4,897.04	$8,851.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,045.63 / $4,416.16 / $5,634.42	Professional		$3,045.63	$4,416.16	$5,634.42
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 $2,692.44 / $4,015.92 / $7,117.24	Professional		$2,692.44	$4,015.92	$7,117.24