Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,664.81 / $5,063.00 / $7,391.00	Facility		$1,664.81	$5,063.00	$7,391.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,349.70 / $1,661.39 / $2,289.29	Professional		$1,349.70	$1,661.39	$2,289.29
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 $1,189.28 / $1,794.76 / $3,363.57	Professional		$1,189.28	$1,794.76	$3,363.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,271.00 / $2,784.59 / $74,999.25	Facility		$2,271.00	$2,784.59	$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 $1,169.45 / $1,730.68 / $3,584.83	Professional		$1,169.45	$1,730.68	$3,584.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,454.13 / $2,115.10 / $10,755.75	Professional		$1,454.13	$2,115.10	$10,755.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,062.23 / $2,281.29 / $4,719.10	Professional		$2,062.23	$2,281.29	$4,719.10
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 $1,144.83 / $1,614.23 / $3,050.79	Professional		$1,144.83	$1,614.23	$3,050.79