Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,811.48 / $4,829.00 / $6,915.00	Facility		$1,811.48	$4,829.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,018.12 / $1,226.64 / $2,435.06	Professional		$1,018.12	$1,226.64	$2,435.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,088.55 / $6,315.83	Facility		$1,082.02	$3,088.55	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,129.57 / $1,713.47 / $2,922.45	Professional		$1,129.57	$1,713.47	$2,922.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,973.27 / $2,367.77 / $3,220.86	Facility		$1,973.27	$2,367.77	$3,220.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,280.88 / $6,180.82	Facility		$1,200.00	$1,280.88	$6,180.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,234.53 / $1,802.35 / $2,894.01	Professional		$1,234.53	$1,802.35	$2,894.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,236.47 / $1,899.66 / $2,786.36	Professional		$1,236.47	$1,899.66	$2,786.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,728.24 / $1,942.86 / $2,023.31	Professional		$1,728.24	$1,942.86	$2,023.31
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 $1,001.58 / $1,683.01 / $2,797.90	Professional		$1,001.58	$1,683.01	$2,797.90