Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,637.37 / $5,063.00 / $7,391.00	Facility		$1,637.37	$5,063.00	$7,391.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $982.93 / $1,182.45 / $2,444.96	Professional		$982.93	$1,182.45	$2,444.96
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 $1,091.27 / $1,592.69 / $2,823.35	Professional		$1,091.27	$1,592.69	$2,823.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,904.72 / $2,287.40 / $3,111.53	Facility		$1,904.72	$2,287.40	$3,111.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,236.73 / $1,236.73 / $6,121.65	Facility		$1,236.73	$1,236.73	$6,121.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,155.02 / $1,721.03 / $2,792.78	Professional		$1,155.02	$1,721.03	$2,792.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,194.49 / $1,737.44 / $3,632.00	Professional		$1,194.49	$1,737.44	$3,632.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,920.63 / $1,920.63 / $1,954.63	Professional		$1,920.63	$1,920.63	$1,954.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00
United Facility/Professional Professional Modifier Low / Median / High Price $965.69 / $1,556.46 / $2,763.18	Professional		$965.69	$1,556.46	$2,763.18