Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.73 / $5,730.00 / $10,897.00	Facility		$1,174.73	$5,730.00	$10,897.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $662.54 / $808.46 / $1,818.26	Professional		$662.54	$808.46	$1,818.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,140.78 / $4,052.10 / $21,112.96	Facility		$1,140.78	$4,052.10	$21,112.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $736.10 / $1,067.71 / $1,910.12	Professional		$736.10	$1,067.71	$1,910.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,286.42 / $1,550.55 / $2,109.19	Facility		$1,286.42	$1,550.55	$2,109.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $837.71 / $2,500.00	Facility		$500.00	$837.71	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $778.17 / $1,162.73 / $1,878.56	Professional		$778.17	$1,162.73	$1,878.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $809.71 / $1,153.45 / $1,824.65	Professional		$809.71	$1,153.45	$1,824.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,299.40 / $1,299.40 / $1,324.98	Professional		$1,299.40	$1,299.40	$1,324.98
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 $649.11 / $987.32 / $1,667.99	Professional		$649.11	$987.32	$1,667.99