Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,683.63 / $5,063.00 / $7,421.00	Facility		$1,683.63	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $942.84 / $1,157.33 / $2,433.13	Professional		$942.84	$1,157.33	$2,433.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $5,155.99 / $21,657.35	Facility		$1,282.27	$5,155.99	$21,657.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,041.74 / $1,587.12 / $2,782.40	Professional		$1,041.74	$1,587.12	$2,782.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,823.31 / $2,181.54 / $2,967.53	Facility		$1,823.31	$2,181.54	$2,967.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,183.90 / $2,500.00	Facility		$500.00	$1,183.90	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,112.13 / $1,682.93 / $2,684.22	Professional		$1,112.13	$1,682.93	$2,684.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,139.22 / $1,657.04 / $3,017.90	Professional		$1,139.22	$1,657.04	$3,017.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,038.70 / $1,581.77 / $2,066.92	Professional		$1,038.70	$1,581.77	$2,066.92
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 $982.70 / $1,611.50 / $2,705.22	Professional		$982.70	$1,611.50	$2,705.22