Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,352.00 / $5,045.00 / $6,915.00	Facility		$1,352.00	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.41 / $1,058.13 / $1,915.97	Professional		$870.41	$1,058.13	$1,915.97
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 $915.08 / $1,377.67 / $2,541.62	Professional		$915.08	$1,377.67	$2,541.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,420.72 / $1,420.72 / $1,420.72	Facility		$1,420.72	$1,420.72	$1,420.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,111.38 / $2,172.58	Facility		$1,000.00	$1,111.38	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $970.41 / $1,453.28 / $2,521.82	Professional		$970.41	$1,453.28	$2,521.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,067.48 / $1,455.66 / $2,405.57	Professional		$1,067.48	$1,455.66	$2,405.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,079.46 / $1,358.62 / $1,713.23	Professional		$1,079.46	$1,358.62	$1,713.23
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 $839.74 / $1,290.80 / $2,223.19	Professional		$839.74	$1,290.80	$2,223.19