Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.00 / $4,829.00 / $6,915.00	Facility		$1,791.00	$4,829.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,129.88 / $1,401.95 / $2,655.83	Professional		$1,129.88	$1,401.95	$2,655.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,402.00 / $5,625.09 / $13,137.87	Facility		$1,402.00	$5,625.09	$13,137.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,253.58 / $1,845.13 / $3,355.46	Professional		$1,253.58	$1,845.13	$3,355.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,248.92 / $2,713.31 / $3,690.89	Facility		$2,248.92	$2,713.31	$3,690.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,466.37 / $12,858.11	Facility		$1,200.00	$1,466.37	$12,858.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,291.64 / $1,968.35 / $3,316.65	Professional		$1,291.64	$1,968.35	$3,316.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,416.91 / $2,034.00 / $3,192.98	Professional		$1,416.91	$2,034.00	$3,192.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,290.35 / $2,171.88 / $17,581.63	Professional		$1,290.35	$2,171.88	$17,581.63
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 $1,136.67 / $1,738.44 / $2,930.10	Professional		$1,136.67	$1,738.44	$2,930.10