Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,198.91 / $5,063.00 / $12,390.00	Facility		$1,198.91	$5,063.00	$12,390.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $675.97 / $824.70 / $1,778.74	Professional		$675.97	$824.70	$1,778.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $5,634.28 / $21,112.96	Facility		$1,206.01	$5,634.28	$21,112.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $753.73 / $1,089.92 / $1,950.08	Professional		$753.73	$1,089.92	$1,950.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,312.67 / $1,583.34 / $2,153.82	Facility		$1,312.67	$1,583.34	$2,153.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $855.57 / $855.57 / $4,830.16	Facility		$855.57	$855.57	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $792.78 / $1,180.11 / $1,916.01	Professional		$792.78	$1,180.11	$1,916.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $826.84 / $1,177.06 / $2,206.23	Professional		$826.84	$1,177.06	$2,206.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $993.82 / $1,165.16 / $1,390.59	Professional		$993.82	$1,165.16	$1,390.59
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 $662.29 / $1,068.52 / $1,702.88	Professional		$662.29	$1,068.52	$1,702.88