Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.83 / $5,045.00 / $6,915.00	Facility		$1,628.83	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,401.70 / $1,789.57 / $3,364.44	Professional		$1,401.70	$1,789.57	$3,364.44
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 $1,547.28 / $2,285.52 / $4,373.32	Professional		$1,547.28	$2,285.52	$4,373.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,314.41 / $2,314.41 / $2,314.41	Facility		$2,314.41	$2,314.41	$2,314.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,829.03 / $57,200.00	Facility		$500.00	$1,829.03	$57,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,605.07 / $2,558.00 / $4,310.07	Professional		$1,605.07	$2,558.00	$4,310.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,863.38 / $2,592.53 / $4,685.95	Professional		$1,863.38	$2,592.53	$4,685.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,620.33 / $2,349.48 / $2,997.61	Professional		$1,620.33	$2,349.48	$2,997.61
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 $1,325.50 / $2,102.54 / $3,842.70	Professional		$1,325.50	$2,102.54	$3,842.70