Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,308.97 / $4,829.00 / $6,915.00	Facility		$1,308.97	$4,829.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $803.78 / $979.79 / $2,119.15	Professional		$803.78	$979.79	$2,119.15
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 $859.39 / $1,316.84 / $2,321.04	Professional		$859.39	$1,316.84	$2,321.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,428.09 / $1,428.09 / $1,428.09	Facility		$1,428.09	$1,428.09	$1,428.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,016.63 / $1,016.63 / $2,172.58	Facility		$1,016.63	$1,016.63	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $875.27 / $1,359.25 / $2,269.44	Professional		$875.27	$1,359.25	$2,269.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $981.13 / $1,501.40 / $2,210.94	Professional		$981.13	$1,501.40	$2,210.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $956.62 / $1,427.59 / $3,134.62	Professional		$956.62	$1,427.59	$3,134.62
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 $785.93 / $1,216.70 / $2,026.81	Professional		$785.93	$1,216.70	$2,026.81