Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,229.75 / $4,829.00 / $6,915.00	Facility		$1,229.75	$4,829.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $754.10 / $912.12 / $1,886.09	Professional		$754.10	$912.12	$1,886.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,088.55 / $6,315.83	Facility		$1,082.02	$3,088.55	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $766.99 / $1,189.48 / $2,152.05	Professional		$766.99	$1,189.48	$2,152.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,346.70 / $1,346.70 / $1,346.70	Facility		$1,346.70	$1,346.70	$1,346.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $941.74 / $941.74 / $4,830.16	Facility		$941.74	$941.74	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $825.96 / $1,247.13 / $2,124.57	Professional		$825.96	$1,247.13	$2,124.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $899.88 / $1,337.54 / $2,027.86	Professional		$899.88	$1,337.54	$2,027.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $872.93 / $1,301.83 / $3,558.82	Professional		$872.93	$1,301.83	$3,558.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $715.37 / $1,115.83 / $1,879.24	Professional		$715.37	$1,115.83	$1,879.24