Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,530.74 / $5,063.00 / $14,490.00	Facility		$1,530.74	$5,063.00	$14,490.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $880.78 / $1,062.33 / $2,102.48	Professional		$880.78	$1,062.33	$2,102.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,206.31 / $6,782.54 / $21,112.96	Facility		$2,206.31	$6,782.54	$21,112.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $978.06 / $1,404.01 / $2,540.21	Professional		$978.06	$1,404.01	$2,540.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,715.57 / $2,061.19 / $2,803.83	Facility		$1,715.57	$2,061.19	$2,803.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,112.98 / $1,112.98 / $4,830.16	Facility		$1,112.98	$1,112.98	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $981.25 / $1,540.44 / $2,535.21	Professional		$981.25	$1,540.44	$2,535.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,076.36 / $1,565.63 / $5,534.40	Professional		$1,076.36	$1,565.63	$5,534.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,728.01 / $1,746.31 / $1,761.34	Professional		$1,728.01	$1,746.31	$1,761.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $857.32 / $1,301.69 / $2,218.19	Professional		$857.32	$1,301.69	$2,218.19