Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,772.77 / $4,829.00 / $6,915.00	Facility		$1,772.77	$4,829.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,012.34 / $1,219.57 / $2,382.78	Professional		$1,012.34	$1,219.57	$2,382.78
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 $1,117.48 / $1,694.55 / $2,907.98	Professional		$1,117.48	$1,694.55	$2,907.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,961.54 / $2,353.89 / $3,201.99	Facility		$1,961.54	$2,353.89	$3,201.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,273.64 / $2,866.35	Facility		$1,200.00	$1,273.64	$2,866.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,188.92 / $1,789.74 / $2,877.41	Professional		$1,188.92	$1,789.74	$2,877.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,229.23 / $1,857.36 / $2,770.03	Professional		$1,229.23	$1,857.36	$2,770.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,461.86 / $1,543.13 / $1,976.88	Professional		$1,461.86	$1,543.13	$1,976.88
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 $996.06 / $1,638.45 / $2,591.67	Professional		$996.06	$1,638.45	$2,591.67