Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.00 / $5,045.00 / $6,915.00	Facility		$1,791.00	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,162.23 / $1,493.09 / $2,690.44	Professional		$1,162.23	$1,493.09	$2,690.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,140.78 / $3,640.00 / $8,545.91	Facility		$1,140.78	$3,640.00	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,245.73 / $1,876.59 / $3,763.37	Professional		$1,245.73	$1,876.59	$3,763.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,939.54 / $1,939.54 / $1,939.54	Facility		$1,939.54	$1,939.54	$1,939.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,498.38 / $4,250.64	Facility		$1,000.00	$1,498.38	$4,250.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,354.23 / $2,073.44 / $3,883.10	Professional		$1,354.23	$2,073.44	$3,883.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,507.88 / $2,119.86 / $3,791.94	Professional		$1,507.88	$2,119.86	$3,791.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,997.42 / $2,273.02 / $5,516.26	Professional		$1,997.42	$2,273.02	$5,516.26
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 $1,172.15 / $1,799.53 / $3,408.13	Professional		$1,172.15	$1,799.53	$3,408.13