Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,130.42 / $5,045.00 / $6,915.00	Facility		$1,130.42	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.21 / $1,185.53 / $2,194.14	Professional		$933.21	$1,185.53	$2,194.14
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 $1,037.28 / $1,541.07 / $2,828.97	Professional		$1,037.28	$1,541.07	$2,828.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,913.60 / $2,308.61 / $3,140.39	Facility		$1,913.60	$2,308.61	$3,140.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,247.64 / $2,500.00	Facility		$500.00	$1,247.64	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,007.98 / $1,610.41 / $2,802.34	Professional		$1,007.98	$1,610.41	$2,802.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,205.58 / $1,643.97 / $2,716.74	Professional		$1,205.58	$1,643.97	$2,716.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,684.17 / $1,764.99 / $2,027.56	Professional		$1,684.17	$1,764.99	$2,027.56
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 $953.28 / $1,420.30 / $2,486.91	Professional		$953.28	$1,420.30	$2,486.91