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 $968.90 / $1,214.79 / $2,350.34	Professional		$968.90	$1,214.79	$2,350.34
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 $1,054.00 / $1,576.45 / $3,052.86	Professional		$1,054.00	$1,576.45	$3,052.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,673.95 / $1,673.95 / $1,673.95	Facility		$1,673.95	$1,673.95	$1,673.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,222.09 / $5,387.56	Facility		$860.00	$1,222.09	$5,387.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,129.47 / $1,714.35 / $3,173.10	Professional		$1,129.47	$1,714.35	$3,173.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,231.05 / $1,721.92 / $3,095.79	Professional		$1,231.05	$1,721.92	$3,095.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,629.64 / $1,867.15 / $4,519.71	Professional		$1,629.64	$1,867.15	$4,519.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,845.00 / $7,766.00 / $11,889.00	Facility		$2,845.00	$7,766.00	$11,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $958.32 / $1,463.42 / $2,633.49	Professional		$958.32	$1,463.42	$2,633.49