Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,149.85 / $4,817.00 / $6,915.00	Facility		$1,149.85	$4,817.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $599.73 / $732.03 / $1,431.06	Professional		$599.73	$732.03	$1,431.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,088.55 / $6,315.83	Facility		$1,082.02	$3,088.55	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $669.69 / $1,017.76 / $1,814.33	Professional		$669.69	$1,017.76	$1,814.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,337.89 / $1,337.89 / $1,337.89	Facility		$1,337.89	$1,337.89	$1,337.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $763.31 / $763.31 / $2,172.58	Facility		$763.31	$763.31	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $723.38 / $1,070.84 / $1,697.41	Professional		$723.38	$1,070.84	$1,697.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $736.54 / $1,120.65 / $1,659.77	Professional		$736.54	$1,120.65	$1,659.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $866.06 / $1,065.54 / $1,238.72	Professional		$866.06	$1,065.54	$1,238.72
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 $588.67 / $989.13 / $1,659.14	Professional		$588.67	$989.13	$1,659.14