Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,275.08 / $5,045.00 / $6,915.00	Facility		$1,275.08	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $789.46 / $948.67 / $1,755.92	Professional		$789.46	$948.67	$1,755.92
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 $813.60 / $1,256.82 / $2,278.92	Professional		$813.60	$1,256.82	$2,278.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,417.36 / $1,417.36 / $1,417.36	Facility		$1,417.36	$1,417.36	$1,417.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.54 / $996.54 / $2,172.58	Facility		$996.54	$996.54	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $865.34 / $1,301.39 / $2,252.86	Professional		$865.34	$1,301.39	$2,252.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $952.53 / $1,393.56 / $2,146.51	Professional		$952.53	$1,393.56	$2,146.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $931.21 / $1,396.81 / $3,134.62	Professional		$931.21	$1,396.81	$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 $758.00 / $1,184.51 / $2,094.89	Professional		$758.00	$1,184.51	$2,094.89