Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,421.29 / $5,063.00 / $7,391.00	Facility		$1,421.29	$5,063.00	$7,391.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $853.59 / $1,027.82 / $2,110.06	Professional		$853.59	$1,027.82	$2,110.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,603.22 / $5,435.54 / $12,227.65	Facility		$1,603.22	$5,435.54	$12,227.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $947.40 / $1,384.42 / $2,451.14	Professional		$947.40	$1,384.42	$2,451.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,654.05 / $1,986.86 / $2,702.72	Facility		$1,654.05	$1,986.86	$2,702.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,073.61 / $1,073.61 / $4,830.16	Facility		$1,073.61	$1,073.61	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,005.79 / $1,494.79 / $2,425.00	Professional		$1,005.79	$1,494.79	$2,425.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,037.55 / $1,509.17 / $3,632.00	Professional		$1,037.55	$1,509.17	$3,632.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,667.42 / $1,667.42 / $1,697.81	Professional		$1,667.42	$1,667.42	$1,697.81
United Facility/Professional Facility Modifier Low / Median / High Price $3,293.00 / $9,062.00 / $16,000.00	Facility		$3,293.00	$9,062.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $839.21 / $1,285.04 / $2,140.42	Professional		$839.21	$1,285.04	$2,140.42