Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,692.73 / $5,595.00 / $10,897.00	Facility		$1,692.73	$5,595.00	$10,897.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $946.82 / $1,157.23 / $2,531.86	Professional		$946.82	$1,157.23	$2,531.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,226.13 / $6,478.48 / $14,509.03	Facility		$2,226.13	$6,478.48	$14,509.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,054.82 / $1,530.42 / $2,729.05	Professional		$1,054.82	$1,530.42	$2,729.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,838.63 / $2,214.46 / $3,012.32	Facility		$1,838.63	$2,214.46	$3,012.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,196.30 / $5,845.00 / $10,047.00	Facility		$1,196.30	$5,845.00	$10,047.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,087.96 / $1,666.80 / $2,723.70	Professional		$1,087.96	$1,666.80	$2,723.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,156.41 / $1,526.51 / $2,605.94	Professional		$1,156.41	$1,526.51	$2,605.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $955.59 / $1,743.77 / $1,892.30	Professional		$955.59	$1,743.77	$1,892.30
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 $930.41 / $1,407.24 / $2,383.10	Professional		$930.41	$1,407.24	$2,383.10