Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,340.94 / $5,045.00 / $6,915.00	Facility		$1,340.94	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,140.96 / $1,468.39 / $2,374.60	Professional		$1,140.96	$1,468.39	$2,374.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $4,363.80 / $9,836.54	Facility		$1,282.27	$4,363.80	$9,836.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,220.11 / $1,883.89 / $3,536.20	Professional		$1,220.11	$1,883.89	$3,536.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,846.92 / $1,846.92 / $1,846.92	Facility		$1,846.92	$1,846.92	$1,846.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,504.93 / $2,500.00	Facility		$500.00	$1,504.93	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,296.05 / $2,038.58 / $3,551.95	Professional		$1,296.05	$2,038.58	$3,551.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,535.62 / $2,136.51 / $3,861.71	Professional		$1,535.62	$2,136.51	$3,861.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,170.07 / $2,233.63 / $2,555.87	Professional		$2,170.07	$2,233.63	$2,555.87
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 $1,113.05 / $1,675.62 / $3,105.15	Professional		$1,113.05	$1,675.62	$3,105.15