Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,795.39 / $5,045.00 / $6,915.00	Facility		$2,795.39	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,431.31 / $3,105.08 / $6,189.27	Professional		$2,431.31	$3,105.08	$6,189.27
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 $2,699.80 / $3,915.25 / $7,548.80	Professional		$2,699.80	$3,915.25	$7,548.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,149.43 / $4,149.43 / $4,149.43	Facility		$4,149.43	$4,149.43	$4,149.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $3,140.83 / $57,200.00	Facility		$500.00	$3,140.83	$57,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,841.34 / $4,337.25 / $7,375.33	Professional		$2,841.34	$4,337.25	$7,375.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,188.58 / $4,436.29 / $8,018.49	Professional		$3,188.58	$4,436.29	$8,018.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,768.19 / $4,013.88 / $5,121.14	Professional		$2,768.19	$4,013.88	$5,121.14
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 $2,423.76 / $3,720.55 / $6,915.72	Professional		$2,423.76	$3,720.55	$6,915.72