Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.00 / $4,829.00 / $6,915.00	Facility		$1,791.00	$4,829.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,181.16 / $1,482.18 / $2,746.88	Professional		$1,181.16	$1,482.18	$2,746.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,088.55 / $6,315.83	Facility		$1,082.02	$3,088.55	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,260.72 / $1,928.43 / $3,556.77	Professional		$1,260.72	$1,928.43	$3,556.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,069.39 / $2,069.39 / $2,069.39	Facility		$2,069.39	$2,069.39	$2,069.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,554.29 / $2,172.58	Facility		$1,200.00	$1,554.29	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,301.84 / $2,079.52 / $3,523.49	Professional		$1,301.84	$2,079.52	$3,523.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,499.14 / $2,074.60 / $3,378.27	Professional		$1,499.14	$2,074.60	$3,378.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,514.69 / $1,883.45 / $2,398.14	Professional		$1,514.69	$1,883.45	$2,398.14
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 $1,190.82 / $1,753.50 / $3,112.00	Professional		$1,190.82	$1,753.50	$3,112.00