Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,432.35 / $5,045.00 / $6,915.00	Facility		$1,432.35	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $800.95 / $1,023.86 / $2,262.79	Professional		$800.95	$1,023.86	$2,262.79
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 $947.16 / $1,375.52 / $2,371.29	Professional		$947.16	$1,375.52	$2,371.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,652.24 / $1,987.70 / $2,703.86	Facility		$1,652.24	$1,987.70	$2,703.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,073.55 / $2,172.58	Facility		$1,000.00	$1,073.55	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.26 / $1,498.79 / $2,420.61	Professional		$977.26	$1,498.79	$2,420.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,037.99 / $1,594.73 / $2,806.63	Professional		$1,037.99	$1,594.73	$2,806.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,453.77 / $1,651.35 / $1,698.53	Professional		$1,453.77	$1,651.35	$1,698.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $836.23 / $1,280.42 / $2,139.86	Professional		$836.23	$1,280.42	$2,139.86