Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,652.25 / $5,045.00 / $6,915.00	Facility		$1,652.25	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $899.19 / $1,114.88 / $2,183.13	Professional		$899.19	$1,114.88	$2,183.13
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 $1,012.26 / $1,523.79 / $2,626.52	Professional		$1,012.26	$1,523.79	$2,626.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,773.11 / $2,130.80 / $2,898.51	Facility		$1,773.11	$2,130.80	$2,898.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,150.55 / $4,830.16	Facility		$1,000.00	$1,150.55	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,086.21 / $1,617.92 / $2,597.10	Professional		$1,086.21	$1,617.92	$2,597.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,112.72 / $1,709.54 / $2,507.46	Professional		$1,112.72	$1,709.54	$2,507.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,553.23 / $1,746.12 / $1,820.81	Professional		$1,553.23	$1,746.12	$1,820.81
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 $899.12 / $1,499.85 / $2,351.00	Professional		$899.12	$1,499.85	$2,351.00