Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,729.40 / $5,063.00 / $7,391.00	Facility		$1,729.40	$5,063.00	$7,391.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $981.12 / $1,179.88 / $2,443.38	Professional		$981.12	$1,179.88	$2,443.38
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 $1,083.56 / $1,573.73 / $2,819.12	Professional		$1,083.56	$1,573.73	$2,819.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,900.55 / $2,235.92 / $3,104.81	Facility		$1,900.55	$2,235.92	$3,104.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,234.82 / $1,234.82 / $12,352.62	Facility		$1,234.82	$1,234.82	$12,352.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,149.70 / $1,726.95 / $2,787.59	Professional		$1,149.70	$1,726.95	$2,787.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,191.92 / $1,831.22 / $3,030.61	Professional		$1,191.92	$1,831.22	$3,030.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,397.79 / $1,897.05 / $4,590.08	Professional		$1,397.79	$1,897.05	$4,590.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00
United Facility/Professional Professional Modifier Low / Median / High Price $964.16 / $1,474.59 / $2,470.75	Professional		$964.16	$1,474.59	$2,470.75