Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,195.73 / $4,613.00 / $6,915.00	Facility		$1,195.73	$4,613.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $906.90 / $1,117.98 / $2,190.91	Professional		$906.90	$1,117.98	$2,190.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $2,986.70 / $6,315.83	Facility		$1,082.02	$2,986.70	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $972.12 / $1,439.39 / $2,642.31	Professional		$972.12	$1,439.39	$2,642.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,799.00 / $2,116.46 / $2,923.05	Facility		$1,799.00	$2,116.46	$2,923.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,167.61 / $1,653.56	Facility		$1,000.00	$1,167.61	$1,653.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $936.82 / $1,576.05 / $2,654.40	Professional		$936.82	$1,576.05	$2,654.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.14 / $1,724.02 / $2,528.71	Professional		$1,122.14	$1,724.02	$2,528.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,366.47 / $1,606.76 / $1,836.23	Professional		$1,366.47	$1,606.76	$1,836.23
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $868.02 / $1,248.98 / $2,378.07	Professional		$868.02	$1,248.98	$2,378.07