Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.19 / $4,368.00 / $6,915.00	Facility		$1,513.19	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $935.54 / $1,134.38 / $2,071.52	Professional		$935.54	$1,134.38	$2,071.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $568.00 / $2,081.07 / $4,819.75	Facility		$568.00	$2,081.07	$4,819.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,025.51 / $1,554.23 / $2,611.98	Professional		$1,025.51	$1,554.23	$2,611.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,429.53 / $1,429.53 / $1,429.53	Facility		$1,429.53	$1,429.53	$1,429.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $960.53 / $960.53 / $960.53	Professional		$960.53	$960.53	$960.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $453.00 / $731.00 / $1,765.90	Facility		$453.00	$731.00	$1,765.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $952.10 / $1,582.11 / $2,448.31	Professional		$952.10	$1,582.11	$2,448.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,022.17 / $1,328.82 / $2,310.15	Professional		$1,022.17	$1,328.82	$2,310.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $959.00 / $1,635.06 / $2,185.69	Professional		$959.00	$1,635.06	$2,185.69
United Facility/Professional Facility Modifier Low / Median / High Price $576.00 / $3,895.00 / $6,995.00	Facility		$576.00	$3,895.00	$6,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $965.02 / $1,309.84 / $2,322.83	Professional		$965.02	$1,309.84	$2,322.83