Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,544.67 / $4,368.00 / $6,915.00	Facility		$1,544.67	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $938.57 / $1,180.54 / $2,100.98	Professional		$938.57	$1,180.54	$2,100.98
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 $1,001.00 / $1,495.79 / $2,969.75	Professional		$1,001.00	$1,495.79	$2,969.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,604.44 / $1,604.44 / $1,604.44	Facility		$1,604.44	$1,604.44	$1,604.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,189.38 / $6,312.84	Facility		$860.00	$1,189.38	$6,312.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,090.33 / $1,650.71 / $3,091.45	Professional		$1,090.33	$1,650.71	$3,091.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,197.83 / $1,666.54 / $3,012.23	Professional		$1,197.83	$1,666.54	$3,012.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,586.69 / $1,819.83 / $4,403.14	Professional		$1,586.69	$1,819.83	$4,403.14
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 $908.65 / $1,423.19 / $2,422.11	Professional		$908.65	$1,423.19	$2,422.11