Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,499.24 / $5,045.00 / $6,915.00	Facility		$1,499.24	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $826.88 / $1,011.05 / $1,930.42	Professional		$826.88	$1,011.05	$1,930.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $5,435.54 / $12,227.65	Facility		$1,206.01	$5,435.54	$12,227.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $919.95 / $1,382.84 / $2,492.36	Professional		$919.95	$1,382.84	$2,492.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,602.63 / $1,928.97 / $2,623.95	Facility		$1,602.63	$1,928.97	$2,623.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,041.93 / $4,830.16	Facility		$1,000.00	$1,041.93	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $949.29 / $1,461.20 / $2,346.42	Professional		$949.29	$1,461.20	$2,346.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,007.33 / $1,544.37 / $2,318.90	Professional		$1,007.33	$1,544.37	$2,318.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.84 / $1,602.56 / $1,648.34	Professional		$1,412.84	$1,602.56	$1,648.34
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 $810.77 / $1,362.35 / $2,111.11	Professional		$810.77	$1,362.35	$2,111.11