Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,459.05 / $4,368.00 / $6,915.00	Facility		$1,459.05	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $929.28 / $1,184.08 / $2,192.05	Professional		$929.28	$1,184.08	$2,192.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $989.09 / $3,392.46 / $8,545.91	Facility		$989.09	$3,392.46	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $963.00 / $1,475.02 / $2,834.06	Professional		$963.00	$1,475.02	$2,834.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,551.29 / $1,551.29 / $1,551.29	Facility		$1,551.29	$1,551.29	$1,551.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,140.13 / $4,250.64	Facility		$860.00	$1,140.13	$4,250.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,056.67 / $1,582.02 / $2,945.67	Professional		$1,056.67	$1,582.02	$2,945.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,154.61 / $1,606.43 / $2,903.58	Professional		$1,154.61	$1,606.43	$2,903.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,529.72 / $1,791.81 / $4,253.89	Professional		$1,529.72	$1,791.81	$4,253.89
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 $895.62 / $1,369.77 / $2,597.52	Professional		$895.62	$1,369.77	$2,597.52