Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,668.62 / $5,063.00 / $7,391.00	Facility		$1,668.62	$5,063.00	$7,391.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,008.52 / $1,214.03 / $2,457.94	Professional		$1,008.52	$1,214.03	$2,457.94
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 $1,118.83 / $1,645.22 / $2,894.68	Professional		$1,118.83	$1,645.22	$2,894.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,953.06 / $2,344.67 / $3,189.45	Facility		$1,953.06	$2,344.67	$3,189.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,268.30 / $1,268.30 / $4,830.16	Facility		$1,268.30	$1,268.30	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,185.79 / $1,771.64 / $2,866.05	Professional		$1,185.79	$1,771.64	$2,866.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,224.41 / $1,780.96 / $3,632.00	Professional		$1,224.41	$1,780.96	$3,632.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,969.15 / $1,969.15 / $2,003.58	Professional		$1,969.15	$1,969.15	$2,003.58
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 $1,015.10 / $1,622.01 / $2,905.44	Professional		$1,015.10	$1,622.01	$2,905.44