Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,250.65 / $5,045.00 / $6,915.00	Facility		$1,250.65	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $731.09 / $916.12 / $1,626.06	Professional		$731.09	$916.12	$1,626.06
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 $777.00 / $1,156.35 / $2,302.56	Professional		$777.00	$1,156.35	$2,302.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,426.61 / $1,714.55 / $2,332.28	Facility		$1,426.61	$1,714.55	$2,332.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $926.03 / $926.03 / $4,250.64	Facility		$926.03	$926.03	$4,250.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $854.94 / $1,277.00 / $2,341.57	Professional		$854.94	$1,277.00	$2,341.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $936.04 / $1,302.32 / $2,353.92	Professional		$936.04	$1,302.32	$2,353.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,237.08 / $1,452.61 / $3,463.85	Professional		$1,237.08	$1,452.61	$3,463.85
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 $722.78 / $1,105.58 / $2,114.96	Professional		$722.78	$1,105.58	$2,114.96