Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,618.15 / $5,595.00 / $10,897.00	Facility		$1,618.15	$5,595.00	$10,897.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $836.66 / $1,025.43 / $2,039.04	Professional		$836.66	$1,025.43	$2,039.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,039.14 / $3,377.02 / $13,523.26	Facility		$1,039.14	$3,377.02	$13,523.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $931.67 / $1,356.97 / $2,410.44	Professional		$931.67	$1,356.97	$2,410.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,627.49 / $1,957.02 / $2,662.11	Facility		$1,627.49	$1,957.02	$2,662.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,056.80 / $5,845.00 / $10,047.00	Facility		$1,056.80	$5,845.00	$10,047.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $990.28 / $1,472.81 / $2,375.53	Professional		$990.28	$1,472.81	$2,375.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,021.97 / $1,453.00 / $2,302.98	Professional		$1,021.97	$1,453.00	$2,302.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $927.15 / $1,425.46 / $1,728.37	Professional		$927.15	$1,425.46	$1,728.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $824.27 / $1,307.40 / $2,364.09	Professional		$824.27	$1,307.40	$2,364.09