Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,613.37 / $5,063.00 / $7,391.00	Facility		$1,613.37	$5,063.00	$7,391.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,310.44 / $1,612.25 / $2,242.03	Professional		$1,310.44	$1,612.25	$2,242.03
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 $1,154.79 / $1,749.77 / $3,259.71	Professional		$1,154.79	$1,749.77	$3,259.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,204.40 / $2,702.79 / $74,999.25	Facility		$2,204.40	$2,702.79	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $886.00 / $2,195.36 / $2,764.53	Facility		$886.00	$2,195.36	$2,764.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,136.30 / $1,694.02 / $3,477.37	Professional		$1,136.30	$1,694.02	$3,477.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,411.42 / $2,052.98 / $10,437.36	Professional		$1,411.42	$2,052.98	$10,437.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,001.65 / $2,212.14 / $4,580.72	Professional		$2,001.65	$2,212.14	$4,580.72
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 $1,149.89 / $1,535.05 / $3,077.22	Professional		$1,149.89	$1,535.05	$3,077.22