Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,890.00 / $5,045.00 / $6,915.00	Facility		$1,890.00	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,201.68 / $1,547.15 / $2,748.51	Professional		$1,201.68	$1,547.15	$2,748.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,140.78 / $3,640.00 / $8,545.91	Facility		$1,140.78	$3,640.00	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,345.30 / $2,000.16 / $3,790.27	Professional		$1,345.30	$2,000.16	$3,790.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,396.78 / $2,865.42 / $3,897.83	Facility		$2,396.78	$2,865.42	$3,897.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,553.88 / $4,250.64	Facility		$1,000.00	$1,553.88	$4,250.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,418.86 / $2,222.51 / $4,095.68	Professional		$1,418.86	$2,222.51	$4,095.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,564.37 / $2,193.38 / $3,933.99	Professional		$1,564.37	$2,193.38	$3,933.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,069.61 / $2,427.67 / $5,724.65	Professional		$2,069.61	$2,427.67	$5,724.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,222.66 / $1,858.45 / $3,384.56	Professional		$1,222.66	$1,858.45	$3,384.56