Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,780.36 / $5,063.00 / $7,647.00	Facility		$1,780.36	$5,063.00	$7,647.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $992.36 / $1,240.30 / $2,391.46	Professional		$992.36	$1,240.30	$2,391.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.00 / $2,889.99 / $7,513.42	Facility		$758.00	$2,889.99	$7,513.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,068.15 / $1,658.72 / $2,834.44	Professional		$1,068.15	$1,658.72	$2,834.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,638.59 / $1,638.59 / $1,638.59	Facility		$1,638.59	$1,638.59	$1,638.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $985.50 / $985.50 / $985.50	Professional		$985.50	$985.50	$985.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $1,005.00 / $3,685.16	Facility		$512.00	$1,005.00	$3,685.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $983.24 / $1,657.78 / $2,616.48	Professional		$983.24	$1,657.78	$2,616.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,062.86 / $1,381.73 / $2,833.86	Professional		$1,062.86	$1,381.73	$2,833.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,864.30 / $2,756.60	Professional		$6.00	$1,864.30	$2,756.60
United Facility/Professional Facility Modifier Low / Median / High Price $741.00 / $5,664.00 / $11,889.00	Facility		$741.00	$5,664.00	$11,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,029.64 / $1,467.17 / $2,483.10	Professional		$1,029.64	$1,467.17	$2,483.10