Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,492.04 / $5,063.00 / $7,391.00	Facility		$1,492.04	$5,063.00	$7,391.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $932.72 / $1,121.40 / $2,193.11	Professional		$932.72	$1,121.40	$2,193.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,603.22 / $5,435.54 / $12,227.65	Facility		$1,603.22	$5,435.54	$12,227.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,032.90 / $1,484.89 / $2,684.42	Professional		$1,032.90	$1,484.89	$2,684.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,808.97 / $2,175.73 / $2,959.65	Facility		$1,808.97	$2,175.73	$2,959.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,175.09 / $1,175.09 / $6,858.44	Facility		$1,175.09	$1,175.09	$6,858.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,073.25 / $1,643.64 / $2,647.83	Professional		$1,073.25	$1,643.64	$2,647.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,136.19 / $1,611.56 / $2,560.38	Professional		$1,136.19	$1,611.56	$2,560.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,534.53 / $1,561.85 / $1,643.71	Professional		$1,534.53	$1,561.85	$1,643.71
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 $916.91 / $1,452.00 / $2,349.96	Professional		$916.91	$1,452.00	$2,349.96