Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,942.78 / $5,045.00 / $6,915.00	Facility		$1,942.78	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,682.09 / $2,136.98 / $3,884.60	Professional		$1,682.09	$2,136.98	$3,884.60
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 $1,860.17 / $2,726.12 / $5,238.05	Professional		$1,860.17	$2,726.12	$5,238.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,827.84 / $2,827.84 / $2,827.84	Facility		$2,827.84	$2,827.84	$2,827.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,182.87 / $57,200.00	Facility		$500.00	$2,182.87	$57,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,951.30 / $3,013.38 / $5,138.18	Professional		$1,951.30	$3,013.38	$5,138.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,221.40 / $3,090.64 / $5,586.26	Professional		$2,221.40	$3,090.64	$5,586.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,931.65 / $2,800.89 / $3,573.55	Professional		$1,931.65	$2,800.89	$3,573.55
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 $1,680.87 / $2,632.72 / $5,007.00	Professional		$1,680.87	$2,632.72	$5,007.00