Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,194.38 / $5,045.00 / $6,915.00	Facility		$1,194.38	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $705.65 / $860.60 / $1,871.69	Professional		$705.65	$860.60	$1,871.69
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 $763.27 / $1,097.25 / $2,027.75	Professional		$763.27	$1,097.25	$2,027.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,359.87 / $1,638.93 / $2,229.44	Facility		$1,359.87	$1,638.93	$2,229.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $886.03 / $886.03 / $2,172.58	Facility		$886.03	$886.03	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $783.94 / $1,226.20 / $2,023.76	Professional		$783.94	$1,226.20	$2,023.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $855.87 / $1,313.91 / $1,928.67	Professional		$855.87	$1,313.91	$1,928.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,115.65 / $1,379.40 / $3,456.59	Professional		$1,115.65	$1,379.40	$3,456.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $692.36 / $1,065.26 / $1,770.70	Professional		$692.36	$1,065.26	$1,770.70