Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,639.34 / $5,063.00 / $7,391.00	Facility		$1,639.34	$5,063.00	$7,391.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,283.84 / $1,591.74 / $2,230.54	Professional		$1,283.84	$1,591.74	$2,230.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,132.49 / $3,116.30 / $6,271.28	Facility		$1,132.49	$3,116.30	$6,271.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,140.06 / $1,718.47 / $3,204.38	Professional		$1,140.06	$1,718.47	$3,204.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,183.52 / $2,667.60 / $74,999.25	Facility		$2,183.52	$2,667.60	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $886.00 / $1,732.09 / $2,181.15	Facility		$886.00	$1,732.09	$2,181.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,151.76 / $1,707.50 / $3,415.17	Professional		$1,151.76	$1,707.50	$3,415.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,393.04 / $2,026.24 / $10,263.61	Professional		$1,393.04	$2,026.24	$10,263.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,786.23 / $1,909.98 / $2,015.29	Professional		$1,786.23	$1,909.98	$2,015.29
United Facility/Professional Facility Modifier Low / Median / High Price $990.00 / $6,000.00 / $8,554.00	Facility		$990.00	$6,000.00	$8,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,131.27 / $1,528.81 / $3,022.18	Professional		$1,131.27	$1,528.81	$3,022.18