Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.00 / $4,829.00 / $6,915.00	Facility		$1,202.00	$4,829.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $732.60 / $891.77 / $1,603.88	Professional		$732.60	$891.77	$1,603.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,402.00 / $5,435.54 / $12,227.65	Facility		$1,402.00	$5,435.54	$12,227.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $792.13 / $1,167.93 / $2,158.36	Professional		$792.13	$1,167.93	$2,158.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,413.57 / $1,732.53 / $2,356.76	Facility		$1,413.57	$1,732.53	$2,356.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $943.23 / $943.23 / $6,122.06	Facility		$943.23	$943.23	$6,122.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $825.21 / $1,209.08 / $2,129.78	Professional		$825.21	$1,209.08	$2,129.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $904.75 / $1,292.00 / $2,038.83	Professional		$904.75	$1,292.00	$2,038.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,303.80 / $1,468.26 / $1,547.19	Professional		$1,303.80	$1,468.26	$1,547.19
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 $700.28 / $1,071.99 / $1,884.76	Professional		$700.28	$1,071.99	$1,884.76