Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,600.78 / $5,063.00 / $9,512.00	Facility		$1,600.78	$5,063.00	$9,512.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,024.43 / $1,250.11 / $2,734.92	Professional		$1,024.43	$1,250.11	$2,734.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,680.00 / $5,516.40 / $12,227.65	Facility		$1,680.00	$5,516.40	$12,227.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,141.18 / $1,678.62 / $2,952.51	Professional		$1,141.18	$1,678.62	$2,952.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $1,800.00 / $1,800.00	Facility		$1,800.00	$1,800.00	$1,800.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,294.18 / $1,294.18 / $4,830.16	Facility		$1,294.18	$1,294.18	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,208.55 / $1,800.49 / $2,912.33	Professional		$1,208.55	$1,800.49	$2,912.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,244.60 / $1,798.32 / $2,804.68	Professional		$1,244.60	$1,798.32	$2,804.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,244.71 / $1,832.35 / $4,797.30	Professional		$1,244.71	$1,832.35	$4,797.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,012.01 / $1,547.76 / $2,598.78	Professional		$1,012.01	$1,547.76	$2,598.78