Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,907.29 / $5,045.00 / $6,915.00	Facility		$1,907.29	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,633.96 / $2,099.17 / $3,817.19	Professional		$1,633.96	$2,099.17	$3,817.19
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 $1,827.61 / $2,675.09 / $5,130.01	Professional		$1,827.61	$2,675.09	$5,130.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,760.03 / $2,760.03 / $2,760.03	Facility		$2,760.03	$2,760.03	$2,760.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,142.73 / $57,200.00	Facility		$500.00	$2,142.73	$57,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,882.48 / $2,955.62 / $5,039.72	Professional		$1,882.48	$2,955.62	$5,039.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,178.82 / $3,031.41 / $5,479.20	Professional		$2,178.82	$3,031.41	$5,479.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,894.63 / $2,747.21 / $3,505.07	Professional		$1,894.63	$2,747.21	$3,505.07
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 $1,626.87 / $2,468.58 / $4,405.77	Professional		$1,626.87	$2,468.58	$4,405.77