Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.44 / $5,045.00 / $6,915.00	Facility		$1,096.44	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $900.91 / $1,096.44 / $2,265.11	Professional		$900.91	$1,096.44	$2,265.11
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 $867.70 / $1,419.36 / $2,742.67	Professional		$867.70	$1,419.36	$2,742.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $876.37 / $876.37 / $876.37	Facility		$876.37	$876.37	$876.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,208.95 / $2,172.58	Facility		$1,000.00	$1,208.95	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $767.57 / $1,461.24 / $2,720.40	Professional		$767.57	$1,461.24	$2,720.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,169.04 / $1,313.22 / $2,634.41	Professional		$1,169.04	$1,313.22	$2,634.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,532.32 / $1,767.29 / $1,966.11	Professional		$1,532.32	$1,767.29	$1,966.11
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $767.57 / $1,211.08 / $2,411.04	Professional		$767.57	$1,211.08	$2,411.04