Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,164.91 / $5,045.00 / $6,915.00	Facility		$1,164.91	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.95 / $810.30 / $1,738.29	Professional		$663.95	$810.30	$1,738.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $2,986.70 / $6,315.83	Facility		$1,082.02	$2,986.70	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $737.38 / $1,065.25 / $1,916.77	Professional		$737.38	$1,065.25	$1,916.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,289.46 / $1,555.11 / $2,115.41	Facility		$1,289.46	$1,555.11	$2,115.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $840.32 / $840.32 / $4,830.16	Facility		$840.32	$840.32	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $772.17 / $1,161.84 / $1,881.98	Professional		$772.17	$1,161.84	$1,881.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.10 / $1,242.33 / $1,830.04	Professional		$812.10	$1,242.33	$1,830.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $942.44 / $1,174.84 / $1,328.88	Professional		$942.44	$1,174.84	$1,328.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $650.95 / $995.57 / $1,878.60	Professional		$650.95	$995.57	$1,878.60