Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.78 / $5,045.00 / $6,915.00	Facility		$1,300.78	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,072.23 / $1,409.31 / $2,324.58	Professional		$1,072.23	$1,409.31	$2,324.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,478.38 / $5,842.74 / $19,414.96	Facility		$1,478.38	$5,842.74	$19,414.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,131.56 / $1,733.12 / $3,253.19	Professional		$1,131.56	$1,733.12	$3,253.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,877.66 / $1,877.66 / $1,877.66	Facility		$1,877.66	$1,877.66	$1,877.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,392.82 / $2,500.00	Facility		$500.00	$1,392.82	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,251.11 / $1,905.98 / $3,484.43	Professional		$1,251.11	$1,905.98	$3,484.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,405.05 / $1,954.85 / $3,533.36	Professional		$1,405.05	$1,954.85	$3,533.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,861.31 / $2,180.44 / $5,129.56	Professional		$1,861.31	$2,180.44	$5,129.56
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 $1,098.84 / $1,708.81 / $3,186.62	Professional		$1,098.84	$1,708.81	$3,186.62