Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,086.29 / $5,063.00 / $6,915.00	Facility		$3,086.29	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,686.86 / $3,408.51 / $6,231.17	Professional		$2,686.86	$3,408.51	$6,231.17
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 $2,986.52 / $4,321.14 / $8,341.78	Professional		$2,986.52	$4,321.14	$8,341.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,605.02 / $4,605.02 / $4,605.02	Facility		$4,605.02	$4,605.02	$4,605.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $3,467.87 / $57,200.00	Facility		$500.00	$3,467.87	$57,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,144.68 / $4,786.04 / $8,140.46	Professional		$3,144.68	$4,786.04	$8,140.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,519.37 / $4,896.51 / $8,850.34	Professional		$3,519.37	$4,896.51	$8,850.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,044.95 / $4,415.18 / $5,633.16	Professional		$3,044.95	$4,415.18	$5,633.16
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 $2,691.83 / $4,037.25 / $7,764.58	Professional		$2,691.83	$4,037.25	$7,764.58