Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,123.76 / $5,063.00 / $7,391.00	Facility		$1,123.76	$5,063.00	$7,391.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $641.04 / $768.47 / $1,641.39	Professional		$641.04	$768.47	$1,641.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,185.65 / $3,123.57 / $6,315.83	Facility		$1,185.65	$3,123.57	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $712.64 / $1,031.18 / $1,851.56	Professional		$712.64	$1,031.18	$1,851.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,243.83 / $1,501.14 / $2,041.98	Facility		$1,243.83	$1,501.14	$2,041.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $811.30 / $811.30 / $2,172.58	Facility		$811.30	$811.30	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $743.52 / $1,113.86 / $1,816.37	Professional		$743.52	$1,113.86	$1,816.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $783.90 / $1,091.58 / $2,035.86	Professional		$783.90	$1,091.58	$2,035.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,106.21 / $1,180.69 / $1,318.38	Professional		$1,106.21	$1,180.69	$1,318.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $6,206.00 / $8,554.00	Facility		$1,800.00	$6,206.00	$8,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $628.25 / $938.80 / $1,616.85	Professional		$628.25	$938.80	$1,616.85