Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.00 / $4,733.00 / $6,915.00	Facility		$1,202.00	$4,733.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $785.42 / $980.19 / $2,130.67	Professional		$785.42	$980.19	$2,130.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $878.93 / $2,533.21 / $5,240.56	Facility		$878.93	$2,533.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $858.20 / $1,275.39 / $2,232.88	Professional		$858.20	$1,275.39	$2,232.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,513.77 / $1,807.74 / $2,459.07	Facility		$1,513.77	$1,807.74	$2,459.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.74 / $977.74 / $1,653.56	Facility		$977.74	$977.74	$1,653.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $882.15 / $1,364.98 / $2,284.21	Professional		$882.15	$1,364.98	$2,284.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $944.02 / $1,450.36 / $2,202.14	Professional		$944.02	$1,450.36	$2,202.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,320.46 / $1,501.84 / $1,544.75	Professional		$1,320.46	$1,501.84	$1,544.75
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,392.00	Facility		$625.00	$3,218.00	$5,392.00
United Facility/Professional Professional Modifier Low / Median / High Price $785.90 / $1,193.61 / $1,985.96	Professional		$785.90	$1,193.61	$1,985.96