Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,624.11 / $5,045.00 / $6,915.00	Facility		$1,624.11	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $873.86 / $1,069.36 / $2,279.84	Professional		$873.86	$1,069.36	$2,279.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $5,435.54 / $12,227.65	Facility		$1,206.01	$5,435.54	$12,227.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $970.35 / $1,464.46 / $2,628.89	Professional		$970.35	$1,464.46	$2,628.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,691.75 / $1,990.29 / $2,767.53	Facility		$1,691.75	$1,990.29	$2,767.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,098.84 / $6,122.06	Facility		$1,000.00	$1,098.84	$6,122.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,052.50 / $1,549.19 / $2,480.92	Professional		$1,052.50	$1,549.19	$2,480.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,062.44 / $1,632.29 / $2,418.73	Professional		$1,062.44	$1,632.29	$2,418.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,489.34 / $1,560.36 / $1,786.82	Professional		$1,489.34	$1,560.36	$1,786.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00
United Facility/Professional Professional Modifier Low / Median / High Price $866.30 / $1,493.67 / $2,457.69	Professional		$866.30	$1,493.67	$2,457.69