Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,546.54 / $5,063.00 / $11,445.00	Facility		$1,546.54	$5,063.00	$11,445.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $872.24 / $1,067.53 / $2,254.53	Professional		$872.24	$1,067.53	$2,254.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,402.00 / $5,634.28 / $21,112.96	Facility		$1,402.00	$5,634.28	$21,112.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $969.27 / $1,412.67 / $2,507.73	Professional		$969.27	$1,412.67	$2,507.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,689.93 / $2,033.04 / $2,765.54	Facility		$1,689.93	$2,033.04	$2,765.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,098.09 / $1,098.09 / $4,830.16	Facility		$1,098.09	$1,098.09	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.92 / $1,522.28 / $2,475.84	Professional		$1,023.92	$1,522.28	$2,475.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,061.68 / $1,519.72 / $2,796.39	Professional		$1,061.68	$1,519.72	$2,796.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,489.45 / $1,706.24 / $1,737.28	Professional		$1,489.45	$1,706.24	$1,737.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,845.00 / $7,356.00 / $11,889.00	Facility		$2,845.00	$7,356.00	$11,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $856.78 / $1,297.17 / $2,195.40	Professional		$856.78	$1,297.17	$2,195.40