Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,352.00 / $5,045.00 / $6,915.00	Facility		$1,352.00	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $919.27 / $1,154.91 / $2,609.88	Professional		$919.27	$1,154.91	$2,609.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $2,986.70 / $6,315.83	Facility		$1,082.02	$2,986.70	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $961.87 / $1,430.99 / $2,603.53	Professional		$961.87	$1,430.99	$2,603.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,773.05 / $2,117.58 / $2,880.54	Facility		$1,773.05	$2,117.58	$2,880.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,151.96 / $1,653.56	Facility		$1,000.00	$1,151.96	$1,653.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,014.99 / $1,584.95 / $2,627.28	Professional		$1,014.99	$1,584.95	$2,627.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,105.82 / $1,611.79 / $3,237.12	Professional		$1,105.82	$1,611.79	$3,237.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,782.97 / $1,794.08 / $1,809.52	Professional		$1,782.97	$1,794.08	$1,809.52
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $887.12 / $1,310.05 / $2,288.73	Professional		$887.12	$1,310.05	$2,288.73