Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.00 / $5,063.00 / $7,391.00	Facility		$1,202.00	$5,063.00	$7,391.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $729.82 / $889.32 / $1,673.07	Professional		$729.82	$889.32	$1,673.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,665.00 / $6,671.99 / $21,103.55	Facility		$1,665.00	$6,671.99	$21,103.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $792.94 / $1,169.89 / $2,102.32	Professional		$792.94	$1,169.89	$2,102.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,416.44 / $1,709.70 / $2,325.71	Facility		$1,416.44	$1,709.70	$2,325.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $924.75 / $924.75 / $20,328.16	Facility		$924.75	$924.75	$20,328.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $833.88 / $1,272.63 / $2,067.40	Professional		$833.88	$1,272.63	$2,067.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $892.83 / $1,366.00 / $2,011.96	Professional		$892.83	$1,366.00	$2,011.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,224.29 / $1,397.64 / $1,501.57	Professional		$1,224.29	$1,397.64	$1,501.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,303.00 / $10,133.00 / $20,037.00	Facility		$2,303.00	$10,133.00	$20,037.00
United Facility/Professional Professional Modifier Low / Median / High Price $713.28 / $1,078.06 / $1,835.82	Professional		$713.28	$1,078.06	$1,835.82