Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,374.00 / $5,063.00 / $7,421.00	Facility		$1,374.00	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $806.68 / $968.41 / $1,978.09	Professional		$806.68	$968.41	$1,978.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,206.31 / $5,656.86 / $12,326.53	Facility		$2,206.31	$5,656.86	$12,326.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $894.68 / $1,285.58 / $2,323.98	Professional		$894.68	$1,285.58	$2,323.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,564.49 / $1,884.60 / $2,563.61	Facility		$1,564.49	$1,884.60	$2,563.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,018.12 / $2,225.00	Facility		$500.00	$1,018.12	$2,225.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $938.62 / $1,407.18 / $2,287.98	Professional		$938.62	$1,407.18	$2,287.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $984.15 / $1,402.41 / $2,430.88	Professional		$984.15	$1,402.41	$2,430.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,580.94 / $1,596.68 / $1,610.43	Professional		$1,580.94	$1,596.68	$1,610.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00
United Facility/Professional Professional Modifier Low / Median / High Price $790.83 / $1,208.03 / $2,029.39	Professional		$790.83	$1,208.03	$2,029.39