Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,821.33 / $5,063.00 / $9,512.00	Facility		$1,821.33	$5,063.00	$9,512.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,534.34 / $1,910.18 / $2,736.16	Professional		$1,534.34	$1,910.18	$2,736.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,299.00 / $3,581.33 / $6,271.28	Facility		$1,299.00	$3,581.33	$6,271.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,364.48 / $2,053.78 / $3,829.62	Professional		$1,364.48	$2,053.78	$3,829.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,620.38 / $3,193.56 / $74,999.25	Facility		$2,620.38	$3,193.56	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.00 / $1,732.09 / $2,181.15	Facility		$1,230.00	$1,732.09	$2,181.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,411.55 / $2,071.62 / $4,081.54	Professional		$1,411.55	$2,071.62	$4,081.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,667.70 / $2,425.73 / $12,285.09	Professional		$1,667.70	$2,425.73	$12,285.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,125.16 / $2,264.96 / $2,412.63	Professional		$2,125.16	$2,264.96	$2,412.63
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 $1,442.97 / $2,022.39 / $3,965.05	Professional		$1,442.97	$2,022.39	$3,965.05