Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $5,623.41 / $9,549.93	Facility		$1,862.09	$5,623.41	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,071.52 / $1,949.84	Professional		$891.25	$1,071.52	$1,949.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,754.23 / $4,677.35	Facility		$912.01	$2,754.23	$4,677.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,548.82 / $2,398.83	Professional		$933.25	$1,548.82	$2,398.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $977.24 / $2,187.76	Facility		$512.86	$977.24	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,258.93 / $2,187.76	Professional		$724.44	$1,258.93	$2,187.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $2,398.83	Professional		$891.25	$1,148.15	$2,398.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $1,778.28 / $2,454.71	Professional		$6.03	$1,778.28	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $5,370.32 / $10,964.78	Facility		$758.58	$5,370.32	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $2,041.74	Professional		$891.25	$1,174.90	$2,041.74