Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,668.40 / $5,063.00 / $7,391.00	Facility		$1,668.40	$5,063.00	$7,391.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,356.10 / $1,708.79 / $2,653.83	Professional		$1,356.10	$1,708.79	$2,653.83
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 $1,196.55 / $1,812.60 / $3,379.89	Professional		$1,196.55	$1,812.60	$3,379.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,284.40 / $2,800.52 / $74,999.25	Facility		$2,284.40	$2,800.52	$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 $1,175.98 / $1,760.55 / $3,602.23	Professional		$1,175.98	$1,760.55	$3,602.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,462.45 / $2,125.94 / $10,809.84	Professional		$1,462.45	$2,125.94	$10,809.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,074.01 / $2,291.37 / $4,746.89	Professional		$2,074.01	$2,291.37	$4,746.89
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 $1,178.05 / $1,587.08 / $3,187.70	Professional		$1,178.05	$1,587.08	$3,187.70