Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,540.03 / $5,079.00 / $10,897.00	Facility		$1,540.03	$5,079.00	$10,897.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,008.40 / $1,230.64 / $2,619.94	Professional		$1,008.40	$1,230.64	$2,619.94
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 $1,124.30 / $1,616.56 / $2,908.83	Professional		$1,124.30	$1,616.56	$2,908.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,951.19 / $2,348.40 / $3,194.52	Facility		$1,951.19	$2,348.40	$3,194.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,272.28 / $1,272.28 / $4,830.16	Facility		$1,272.28	$1,272.28	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,184.74 / $1,767.64 / $2,861.68	Professional		$1,184.74	$1,767.64	$2,861.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,226.35 / $1,783.79 / $3,632.00	Professional		$1,226.35	$1,783.79	$3,632.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,978.78 / $1,978.78 / $2,006.76	Professional		$1,978.78	$1,978.78	$2,006.76
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 $982.86 / $1,545.70 / $2,540.09	Professional		$982.86	$1,545.70	$2,540.09