Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,489.66 / $5,063.00 / $7,391.00	Facility		$1,489.66	$5,063.00	$7,391.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $908.83 / $1,092.42 / $2,382.42	Professional		$908.83	$1,092.42	$2,382.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,665.00 / $6,671.99 / $21,103.55	Facility		$1,665.00	$6,671.99	$21,103.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,005.93 / $1,468.39 / $2,610.94	Professional		$1,005.93	$1,468.39	$2,610.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,762.55 / $2,118.94 / $2,882.40	Facility		$1,762.55	$2,118.94	$2,882.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,144.23 / $1,144.23 / $19,311.37	Facility		$1,144.23	$1,144.23	$19,311.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,066.43 / $1,597.77 / $2,580.65	Professional		$1,066.43	$1,597.77	$2,580.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,106.52 / $1,700.02 / $2,955.01	Professional		$1,106.52	$1,700.02	$2,955.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,776.12 / $1,795.22 / $1,810.68	Professional		$1,776.12	$1,795.22	$1,810.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,303.00 / $10,133.00 / $20,037.00	Facility		$2,303.00	$10,133.00	$20,037.00
United Facility/Professional Professional Modifier Low / Median / High Price $892.68 / $1,445.85 / $2,288.64	Professional		$892.68	$1,445.85	$2,288.64