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 $984.93 / $1,259.96 / $2,259.19	Professional		$984.93	$1,259.96	$2,259.19
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 $1,083.00 / $1,635.49 / $3,187.86	Professional		$1,083.00	$1,635.49	$3,187.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,735.97 / $1,735.97 / $1,735.97	Facility		$1,735.97	$1,735.97	$1,735.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,268.11 / $4,250.64	Facility		$860.00	$1,268.11	$4,250.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,177.27 / $1,800.15 / $3,253.83	Professional		$1,177.27	$1,800.15	$3,253.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,277.36 / $1,797.92 / $3,212.27	Professional		$1,277.36	$1,797.92	$3,212.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,690.74 / $1,937.21 / $4,689.83	Professional		$1,690.74	$1,937.21	$4,689.83
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 $993.06 / $1,518.79 / $2,888.37	Professional		$993.06	$1,518.79	$2,888.37