Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,465.27 / $5,045.00 / $6,915.00	Facility		$1,465.27	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,262.95 / $1,606.68 / $2,850.77	Professional		$1,262.95	$1,606.68	$2,850.77
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 $1,313.48 / $2,056.64 / $3,913.47	Professional		$1,313.48	$2,056.64	$3,913.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,048.23 / $2,048.23 / $2,048.23	Facility		$2,048.23	$2,048.23	$2,048.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,644.17 / $2,500.00	Facility		$500.00	$1,644.17	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,435.69 / $2,209.21 / $3,880.81	Professional		$1,435.69	$2,209.21	$3,880.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,677.79 / $2,334.32 / $4,219.24	Professional		$1,677.79	$2,334.32	$4,219.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,374.08 / $2,427.84 / $2,773.08	Professional		$2,374.08	$2,427.84	$2,773.08
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 $1,252.94 / $1,868.94 / $3,392.64	Professional		$1,252.94	$1,868.94	$3,392.64