Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,111.29 / $5,063.00 / $6,915.00	Facility		$1,111.29	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $923.21 / $1,151.99 / $1,382.69	Professional		$923.21	$1,151.99	$1,382.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $5,240.70 / $19,879.08	Facility		$1,400.00	$5,240.70	$19,879.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,048.66 / $1,690.02 / $2,631.16	Professional		$1,048.66	$1,690.02	$2,631.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,110.53 / $1,110.53 / $1,110.53	Facility		$1,110.53	$1,110.53	$1,110.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $1,233.00	Facility		$200.00	$617.00	$1,233.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,109.10 / $1,109.10 / $2,426.19	Professional		$1,109.10	$1,109.10	$2,426.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,225.34 / $1,225.34 / $3,632.00	Professional		$1,225.34	$1,225.34	$3,632.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,965.10 / $2,259.80 / $3,129.40	Professional		$1,965.10	$2,259.80	$3,129.40
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $2,969.00 / $9,079.00	Facility		$400.00	$2,969.00	$9,079.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,087.56 / $1,579.62 / $2,682.59	Professional		$1,087.56	$1,579.62	$2,682.59