Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.04 / $5,045.00 / $6,915.00	Facility		$1,301.04	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $690.95 / $843.98 / $1,651.03	Professional		$690.95	$843.98	$1,651.03
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 $770.34 / $1,166.20 / $2,087.01	Professional		$770.34	$1,166.20	$2,087.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,340.39 / $1,616.30 / $2,267.64	Facility		$1,340.39	$1,616.30	$2,267.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $873.43 / $873.43 / $2,172.58	Facility		$873.43	$873.43	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $826.22 / $1,246.09 / $1,958.80	Professional		$826.22	$1,246.09	$1,958.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $844.04 / $1,290.48 / $1,905.16	Professional		$844.04	$1,290.48	$1,905.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,189.74 / $1,355.80 / $1,419.52	Professional		$1,189.74	$1,355.80	$1,419.52
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 $677.33 / $1,138.10 / $1,954.43	Professional		$677.33	$1,138.10	$1,954.43