Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,017.18 / $5,063.00 / $7,631.00	Facility		$2,017.18	$5,063.00	$7,631.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,341.99 / $1,741.49 / $2,922.30	Professional		$1,341.99	$1,741.49	$2,922.30
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 $1,244.88 / $1,798.05 / $3,352.76	Professional		$1,244.88	$1,798.05	$3,352.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,326.89 / $2,808.23 / $74,999.25	Facility		$2,326.89	$2,808.23	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,603.78 / $5,008.00 / $9,852.00	Facility		$1,603.78	$5,008.00	$9,852.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,299.52 / $1,919.68 / $3,552.02	Professional		$1,299.52	$1,919.68	$3,552.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,466.48 / $2,133.06 / $10,833.12	Professional		$1,466.48	$2,133.06	$10,833.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,746.43 / $2,009.02 / $2,379.21	Professional		$1,746.43	$2,009.02	$2,379.21
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 $1,294.68 / $1,718.06 / $3,595.98	Professional		$1,294.68	$1,718.06	$3,595.98