Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,676.54 / $5,045.00 / $6,915.00	Facility		$1,676.54	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.18 / $1,064.44 / $2,097.44	Professional		$870.18	$1,064.44	$2,097.44
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 $966.05 / $1,476.13 / $2,627.06	Professional		$966.05	$1,476.13	$2,627.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,684.20 / $2,025.57 / $3,042.89	Facility		$1,684.20	$2,025.57	$3,042.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,094.01 / $7,664.43	Facility		$1,000.00	$1,094.01	$7,664.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,053.35 / $1,571.33 / $2,494.48	Professional		$1,053.35	$1,571.33	$2,494.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,057.77 / $1,625.12 / $2,383.66	Professional		$1,057.77	$1,625.12	$2,383.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,263.99 / $1,329.94 / $1,700.25	Professional		$1,263.99	$1,329.94	$1,700.25
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 $854.02 / $1,437.40 / $2,346.78	Professional		$854.02	$1,437.40	$2,346.78