Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,415.01 / $4,368.00 / $6,915.00	Facility		$1,415.01	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,017.03 / $1,198.86 / $2,190.61	Professional		$1,017.03	$1,198.86	$2,190.61
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 $1,083.58 / $1,669.73 / $2,952.70	Professional		$1,083.58	$1,669.73	$2,952.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,527.38 / $1,527.38 / $1,527.38	Facility		$1,527.38	$1,527.38	$1,527.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,010.50 / $1,010.50 / $1,010.50	Professional		$1,010.50	$1,010.50	$1,010.50
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 $975.18 / $1,653.76 / $2,595.40	Professional		$975.18	$1,653.76	$2,595.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,083.58 / $1,408.65 / $2,506.09	Professional		$1,083.58	$1,408.65	$2,506.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,970.80 / $2,790.40	Professional		$5.00	$1,970.80	$2,790.40
United Facility/Professional Facility Modifier Low / Median / High Price $651.00 / $4,666.00 / $8,554.00	Facility		$651.00	$4,666.00	$8,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $997.62 / $1,399.32 / $2,409.69	Professional		$997.62	$1,399.32	$2,409.69