Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,508.93 / $5,079.00 / $9,512.00	Facility		$1,508.93	$5,079.00	$9,512.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $973.31 / $1,179.65 / $2,543.69	Professional		$973.31	$1,179.65	$2,543.69
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 $1,067.99 / $1,579.98 / $2,763.13	Professional		$1,067.99	$1,579.98	$2,763.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,865.69 / $2,238.17 / $3,044.60	Facility		$1,865.69	$2,238.17	$3,044.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,211.33 / $1,211.33 / $4,830.16	Facility		$1,211.33	$1,211.33	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,131.88 / $1,686.87 / $2,735.23	Professional		$1,131.88	$1,686.87	$2,735.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,168.81 / $1,700.08 / $3,632.00	Professional		$1,168.81	$1,700.08	$3,632.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,879.66 / $1,879.66 / $1,912.59	Professional		$1,879.66	$1,879.66	$1,912.59
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 $947.89 / $1,529.95 / $2,644.79	Professional		$947.89	$1,529.95	$2,644.79