Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,018.44 / $5,063.00 / $7,391.00	Facility		$1,018.44	$5,063.00	$7,391.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $632.08 / $783.08 / $1,622.75	Professional		$632.08	$783.08	$1,622.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,185.65 / $3,123.57 / $6,315.83	Facility		$1,185.65	$3,123.57	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $687.65 / $1,015.17 / $1,842.27	Professional		$687.65	$1,015.17	$1,842.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,105.91 / $1,105.91 / $1,105.91	Facility		$1,105.91	$1,105.91	$1,105.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $806.04 / $806.04 / $2,172.58	Facility		$806.04	$806.04	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $694.93 / $1,040.01 / $1,832.46	Professional		$694.93	$1,040.01	$1,832.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $774.37 / $1,109.00 / $1,745.02	Professional		$774.37	$1,109.00	$1,745.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,253.23 / $1,253.23 / $1,267.15	Professional		$1,253.23	$1,253.23	$1,267.15
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 $608.91 / $916.33 / $1,608.74	Professional		$608.91	$916.33	$1,608.74