Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,708.36 / $4,829.00 / $6,915.00	Facility		$1,708.36	$4,829.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $946.63 / $1,219.00 / $2,288.61	Professional		$946.63	$1,219.00	$2,288.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,240.00 / $3,837.00 / $8,545.91	Facility		$1,240.00	$3,837.00	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,059.46 / $1,561.51 / $3,084.58	Professional		$1,059.46	$1,561.51	$3,084.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,780.03 / $1,780.03 / $1,780.03	Facility		$1,780.03	$1,780.03	$1,780.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,224.10 / $5,387.56	Facility		$1,200.00	$1,224.10	$5,387.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,136.52 / $1,743.71 / $3,232.71	Professional		$1,136.52	$1,743.71	$3,232.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,218.38 / $1,760.07 / $3,063.91	Professional		$1,218.38	$1,760.07	$3,063.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,572.82 / $1,890.75 / $4,334.52	Professional		$1,572.82	$1,890.75	$4,334.52
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 $959.85 / $1,548.34 / $2,481.58	Professional		$959.85	$1,548.34	$2,481.58