Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,575.00 / $4,368.00 / $6,915.00	Facility		$1,575.00	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,033.04 / $1,323.14 / $2,423.14	Professional		$1,033.04	$1,323.14	$2,423.14
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 $1,149.30 / $1,717.25 / $3,323.72	Professional		$1,149.30	$1,717.25	$3,323.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,051.07 / $2,454.59 / $3,338.97	Facility		$2,051.07	$2,454.59	$3,338.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,272.50 / $1,330.88	Facility		$860.00	$1,272.50	$1,330.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,269.23 / $1,846.00 / $3,505.30	Professional		$1,269.23	$1,846.00	$3,505.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,340.07 / $1,864.45 / $3,369.93	Professional		$1,340.07	$1,864.45	$3,369.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,773.09 / $2,079.61 / $4,912.97	Professional		$1,773.09	$2,079.61	$4,912.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.06 / $1,641.59 / $2,709.74	Professional		$1,023.06	$1,641.59	$2,709.74