Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,382.32 / $5,063.00 / $6,915.00	Facility		$1,382.32	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,146.14 / $1,459.53 / $2,873.26	Professional		$1,146.14	$1,459.53	$2,873.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $5,516.40 / $12,227.65	Facility		$1,206.01	$5,516.40	$12,227.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.03 / $1,782.91 / $3,445.18	Professional		$1,071.03	$1,782.91	$3,445.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,698.62 / $2,759.73 / $3,824.51	Facility		$1,698.62	$2,759.73	$3,824.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,521.54 / $6,470.04	Facility		$1,000.00	$1,521.54	$6,470.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $906.06 / $1,820.27 / $3,435.69	Professional		$906.06	$1,820.27	$3,435.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,468.20 / $2,255.69 / $3,308.55	Professional		$1,468.20	$2,255.69	$3,308.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,745.55 / $2,046.51 / $2,402.51	Professional		$1,745.55	$2,046.51	$2,402.51
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 $959.75 / $1,523.82 / $3,028.62	Professional		$959.75	$1,523.82	$3,028.62