Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.00 / $5,063.00 / $7,421.00	Facility		$1,791.00	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $949.90 / $1,138.82 / $2,525.26	Professional		$949.90	$1,138.82	$2,525.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,140.78 / $3,272.95 / $6,339.18	Facility		$1,140.78	$3,272.95	$6,339.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,049.31 / $1,560.37 / $2,714.80	Professional		$1,049.31	$1,560.37	$2,714.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,752.35 / $1,752.35 / $1,752.35	Facility		$1,752.35	$1,752.35	$1,752.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,197.05 / $1,197.05 / $2,225.00	Facility		$1,197.05	$1,197.05	$2,225.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,127.66 / $1,701.85 / $2,709.48	Professional		$1,127.66	$1,701.85	$2,709.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,156.84 / $1,777.34 / $6,651.00	Professional		$1,156.84	$1,777.34	$6,651.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,516.31 / $1,735.69 / $1,945.61	Professional		$1,516.31	$1,735.69	$1,945.61
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 $932.25 / $1,514.47 / $2,386.38	Professional		$932.25	$1,514.47	$2,386.38