Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,464.45 / $5,063.00 / $7,391.00	Facility		$1,464.45	$5,063.00	$7,391.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $956.41 / $1,150.82 / $2,370.17	Professional		$956.41	$1,150.82	$2,370.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,603.22 / $5,625.09 / $13,137.87	Facility		$1,603.22	$5,625.09	$13,137.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,057.42 / $1,518.74 / $2,747.79	Professional		$1,057.42	$1,518.74	$2,747.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,854.14 / $2,227.40 / $3,029.91	Facility		$1,854.14	$2,227.40	$3,029.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,203.30 / $1,203.30 / $13,430.55	Facility		$1,203.30	$1,203.30	$13,430.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,077.91 / $1,686.16 / $2,716.90	Professional		$1,077.91	$1,686.16	$2,716.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,163.16 / $1,787.04 / $2,939.82	Professional		$1,163.16	$1,787.04	$2,939.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,869.22 / $1,887.11 / $1,903.35	Professional		$1,869.22	$1,887.11	$1,903.35
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 $939.92 / $1,434.80 / $2,411.36	Professional		$939.92	$1,434.80	$2,411.36