Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,722.90 / $4,368.00 / $6,915.00	Facility		$1,722.90	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,431.70 / $1,801.09 / $3,435.96	Professional		$1,431.70	$1,801.09	$3,435.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,795.56 / $6,315.83	Facility		$964.00	$2,795.56	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,587.26 / $2,314.82 / $4,262.18	Professional		$1,587.26	$2,314.82	$4,262.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,836.52 / $3,337.07 / $4,661.45	Facility		$2,836.52	$3,337.07	$4,661.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,857.88 / $2,172.58	Facility		$860.00	$1,857.88	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,639.64 / $2,544.27 / $4,254.17	Professional		$1,639.64	$2,544.27	$4,254.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,789.49 / $2,553.94 / $4,032.58	Professional		$1,789.49	$2,553.94	$4,032.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,539.19 / $2,616.23 / $3,009.60	Professional		$2,539.19	$2,616.23	$3,009.60
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 $1,453.13 / $2,175.10 / $3,997.89	Professional		$1,453.13	$2,175.10	$3,997.89