Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,542.17 / $5,063.00 / $7,421.00	Facility		$1,542.17	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $861.90 / $1,052.09 / $2,068.54	Professional		$861.90	$1,052.09	$2,068.54
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 $961.28 / $1,432.29 / $2,487.05	Professional		$961.28	$1,432.29	$2,487.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,672.19 / $1,967.28 / $2,742.68	Facility		$1,672.19	$1,967.28	$2,742.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,089.54 / $1,089.54 / $6,579.24	Facility		$1,089.54	$1,089.54	$6,579.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,014.65 / $1,526.88 / $2,443.53	Professional		$1,014.65	$1,526.88	$2,443.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,052.90 / $1,613.25 / $2,471.53	Professional		$1,052.90	$1,613.25	$2,471.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,220.90 / $1,523.21 / $1,722.92	Professional		$1,220.90	$1,523.21	$1,722.92
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 $845.44 / $1,318.82 / $2,171.78	Professional		$845.44	$1,318.82	$2,171.78