Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,639.72 / $5,045.00 / $6,915.00	Facility		$1,639.72	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.78 / $1,114.55 / $2,125.34	Professional		$912.78	$1,114.55	$2,125.34
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 $1,011.41 / $1,512.58 / $2,626.13	Professional		$1,011.41	$1,512.58	$2,626.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,768.85 / $2,130.48 / $2,898.08	Facility		$1,768.85	$2,130.48	$2,898.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,150.92 / $2,172.58	Facility		$1,000.00	$1,150.92	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.63 / $1,599.06 / $2,589.10	Professional		$1,071.63	$1,599.06	$2,589.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,112.55 / $1,707.54 / $2,507.11	Professional		$1,112.55	$1,707.54	$2,507.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,560.52 / $1,786.46 / $1,871.11	Professional		$1,560.52	$1,786.46	$1,871.11
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 $894.21 / $1,456.98 / $2,329.82	Professional		$894.21	$1,456.98	$2,329.82