Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,442.73 / $5,063.00 / $7,391.00	Facility		$1,442.73	$5,063.00	$7,391.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $930.85 / $1,118.80 / $2,214.73	Professional		$930.85	$1,118.80	$2,214.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,603.22 / $5,435.54 / $12,227.65	Facility		$1,603.22	$5,435.54	$12,227.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,020.34 / $1,506.96 / $2,672.63	Professional		$1,020.34	$1,506.96	$2,672.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,804.23 / $2,169.44 / $2,951.07	Facility		$1,804.23	$2,169.44	$2,951.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,172.49 / $1,172.49 / $4,830.16	Facility		$1,172.49	$1,172.49	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,083.49 / $1,618.10 / $2,642.49	Professional		$1,083.49	$1,618.10	$2,642.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,132.89 / $1,740.53 / $2,552.94	Professional		$1,132.89	$1,740.53	$2,552.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,550.83 / $1,772.61 / $1,905.32	Professional		$1,550.83	$1,772.61	$1,905.32
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 $916.30 / $1,399.74 / $2,348.87	Professional		$916.30	$1,399.74	$2,348.87