Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,656.00 / $5,664.00 / $9,023.00	Facility		$1,656.00	$5,664.00	$9,023.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $939.22 / $1,094.27 / $2,541.65	Professional		$939.22	$1,094.27	$2,541.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $3,514.57 / $6,339.18	Facility		$1,206.01	$3,514.57	$6,339.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,024.50 / $1,540.57 / $2,833.11	Professional		$1,024.50	$1,540.57	$2,833.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,720.37 / $2,023.97 / $2,362.37	Facility		$1,720.37	$2,023.97	$2,362.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,164.54 / $1,740.56 / $2,764.49	Professional		$1,164.54	$1,740.56	$2,764.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,048.59 / $1,334.58 / $3,152.50	Professional		$1,048.59	$1,334.58	$3,152.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,417.14 / $1,993.90 / $4,372.93	Professional		$1,417.14	$1,993.90	$4,372.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,689.00 / $8,836.00	Facility		$1,519.00	$6,689.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,025.02 / $1,501.04 / $2,363.44	Professional		$1,025.02	$1,501.04	$2,363.44