Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,352.00 / $4,620.55 / $6,915.00	Facility		$1,352.00	$4,620.55	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $797.98 / $972.19 / $1,796.39	Professional		$797.98	$972.19	$1,796.39
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 $852.94 / $1,275.34 / $2,347.51	Professional		$852.94	$1,275.34	$2,347.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,390.71 / $1,390.71 / $1,390.71	Facility		$1,390.71	$1,390.71	$1,390.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,025.26 / $2,172.58	Facility		$1,000.00	$1,025.26	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $905.51 / $1,346.31 / $2,320.98	Professional		$905.51	$1,346.31	$2,320.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $983.38 / $1,387.00 / $2,216.03	Professional		$983.38	$1,387.00	$2,216.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,394.61 / $1,564.47 / $1,653.86	Professional		$1,394.61	$1,564.47	$1,653.86
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 $775.50 / $1,234.24 / $2,049.92	Professional		$775.50	$1,234.24	$2,049.92