Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,757.46 / $4,592.00 / $6,915.00	Facility		$1,757.46	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $906.77 / $1,106.49 / $2,336.51	Professional		$906.77	$1,106.49	$2,336.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,140.78 / $3,272.95 / $6,339.18	Facility		$1,140.78	$3,272.95	$6,339.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,003.07 / $1,516.22 / $2,595.16	Professional		$1,003.07	$1,516.22	$2,595.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,305.64 / $1,305.64 / $1,305.64	Facility		$1,305.64	$1,305.64	$1,305.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,140.59 / $1,140.59 / $2,225.00	Facility		$1,140.59	$1,140.59	$2,225.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $112.96 / $112.96 / $112.96	Facility	AS	$112.96	$112.96	$112.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,091.98 / $1,656.47 / $2,590.07	Professional		$1,091.98	$1,656.47	$2,590.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,093.69 / $1,607.80 / $6,009.00	Professional		$1,093.69	$1,607.80	$6,009.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $39.43 / $39.43 / $39.43	Professional	AS	$39.43	$39.43	$39.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,765.40 / $1,765.40 / $1,789.67	Professional		$1,765.40	$1,765.40	$1,789.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $892.37 / $1,474.26 / $2,294.53	Professional		$892.37	$1,474.26	$2,294.53