Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,530.29 / $5,063.00 / $7,421.00	Facility		$1,530.29	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $917.42 / $1,125.08 / $2,170.19	Professional		$917.42	$1,125.08	$2,170.19
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 $1,008.24 / $1,489.79 / $2,691.54	Professional		$1,008.24	$1,489.79	$2,691.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,814.46 / $2,181.48 / $2,967.45	Facility		$1,814.46	$2,181.48	$2,967.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,178.07 / $2,500.00	Facility		$500.00	$1,178.07	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,035.08 / $1,598.83 / $2,656.49	Professional		$1,035.08	$1,598.83	$2,656.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,139.18 / $1,553.43 / $2,670.82	Professional		$1,139.18	$1,553.43	$2,670.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,495.83 / $1,823.90 / $4,391.43	Professional		$1,495.83	$1,823.90	$4,391.43
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 $919.37 / $1,392.67 / $2,577.39	Professional		$919.37	$1,392.67	$2,577.39