Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $4,570.88 / $7,413.10	Facility		$1,288.25	$4,570.88	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $831.76 / $1,445.44	Professional		$691.83	$831.76	$1,445.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $2,041.74 / $4,677.35	Facility		$691.83	$2,041.74	$4,677.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,230.27 / $1,905.46	Professional		$676.08	$1,230.27	$1,905.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $707.95 / $870.96	Facility		$457.09	$707.95	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,000.00 / $1,737.80	Professional		$575.44	$1,000.00	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $933.25 / $1,778.28	Professional		$707.95	$933.25	$1,778.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $1,548.82 / $1,995.26	Professional		$5.01	$1,548.82	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,454.71 / $5,248.07	Facility		$524.81	$2,454.71	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $1,584.89	Professional		$676.08	$891.25	$1,584.89