Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.70 / $5,045.00 / $6,915.00	Facility		$1,548.70	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,001.55 / $1,206.23 / $2,365.90	Professional		$1,001.55	$1,206.23	$2,365.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $4,363.80 / $9,836.54	Facility		$1,282.27	$4,363.80	$9,836.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,106.23 / $1,613.33 / $2,876.69	Professional		$1,106.23	$1,613.33	$2,876.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,940.88 / $2,330.21 / $3,169.77	Facility		$1,940.88	$2,330.21	$3,169.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,260.32 / $2,500.00	Facility		$500.00	$1,260.32	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.99 / $1,763.67 / $2,846.09	Professional		$1,174.99	$1,763.67	$2,846.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,216.84 / $1,747.95 / $2,781.76	Professional		$1,216.84	$1,747.95	$2,781.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,600.32 / $1,912.44 / $2,046.53	Professional		$1,600.32	$1,912.44	$2,046.53
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 $984.71 / $1,587.12 / $2,527.56	Professional		$984.71	$1,587.12	$2,527.56