Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,494.86 / $5,063.00 / $14,490.00	Facility		$1,494.86	$5,063.00	$14,490.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $808.54 / $1,014.44 / $2,226.71	Professional		$808.54	$1,014.44	$2,226.71
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 $916.91 / $1,316.75 / $2,382.32	Professional		$916.91	$1,316.75	$2,382.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,606.59 / $1,931.42 / $2,627.28	Facility		$1,606.59	$1,931.42	$2,627.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,043.05 / $1,043.05 / $4,830.16	Facility		$1,043.05	$1,043.05	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $950.56 / $1,462.67 / $2,351.85	Professional		$950.56	$1,462.67	$2,351.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,008.60 / $1,452.00 / $2,272.86	Professional		$1,008.60	$1,452.00	$2,272.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,620.61 / $1,620.61 / $1,650.43	Professional		$1,620.61	$1,620.61	$1,650.43
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 $814.45 / $1,270.88 / $2,088.12	Professional		$814.45	$1,270.88	$2,088.12