Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,589.24 / $5,045.00 / $6,915.00	Facility		$1,589.24	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $873.94 / $1,142.76 / $2,162.19	Professional		$873.94	$1,142.76	$2,162.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,140.78 / $3,640.00 / $8,545.91	Facility		$1,140.78	$3,640.00	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $996.10 / $1,524.46 / $2,980.92	Professional		$996.10	$1,524.46	$2,980.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,774.50 / $2,106.75 / $2,865.80	Facility		$1,774.50	$2,106.75	$2,865.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,145.56 / $4,250.64	Facility		$1,000.00	$1,145.56	$4,250.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,117.16 / $1,657.26 / $3,030.31	Professional		$1,117.16	$1,657.26	$3,030.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,150.17 / $1,690.25 / $2,892.40	Professional		$1,150.17	$1,690.25	$2,892.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,462.70 / $1,822.79 / $4,441.60	Professional		$1,462.70	$1,822.79	$4,441.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $896.36 / $1,443.56 / $2,605.36	Professional		$896.36	$1,443.56	$2,605.36