Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,135.52 / $5,045.00 / $6,915.00	Facility		$1,135.52	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $703.33 / $853.41 / $1,562.52	Professional		$703.33	$853.41	$1,562.52
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 $728.02 / $1,124.59 / $2,064.55	Professional		$728.02	$1,124.59	$2,064.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,240.38 / $1,240.38 / $1,240.38	Facility		$1,240.38	$1,240.38	$1,240.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $902.97 / $902.97 / $2,172.58	Facility		$902.97	$902.97	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $771.28 / $1,158.18 / $2,034.96	Professional		$771.28	$1,158.18	$2,034.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $863.16 / $1,242.00 / $1,945.11	Professional		$863.16	$1,242.00	$1,945.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $843.57 / $1,267.01 / $3,134.62	Professional		$843.57	$1,267.01	$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 $648.08 / $1,027.75 / $1,812.54	Professional		$648.08	$1,027.75	$1,812.54