Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,525.99 / $5,045.00 / $6,915.00	Facility		$1,525.99	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $978.05 / $1,200.95 / $2,149.30	Professional		$978.05	$1,200.95	$2,149.30
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 $1,049.20 / $1,541.59 / $3,175.81	Professional		$1,049.20	$1,541.59	$3,175.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,600.60 / $1,600.60 / $1,600.60	Facility		$1,600.60	$1,600.60	$1,600.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,223.35 / $4,250.64	Facility		$1,000.00	$1,223.35	$4,250.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,106.63 / $1,686.16 / $3,190.27	Professional		$1,106.63	$1,686.16	$3,190.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,236.14 / $1,719.84 / $3,108.56	Professional		$1,236.14	$1,719.84	$3,108.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,539.91 / $1,956.59 / $4,810.89	Professional		$1,539.91	$1,956.59	$4,810.89
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 $937.16 / $1,436.89 / $2,677.85	Professional		$937.16	$1,436.89	$2,677.85