Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,846.85 / $5,063.00 / $6,915.00	Facility		$1,846.85	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,111.68 / $1,426.05 / $2,526.92	Professional		$1,111.68	$1,426.05	$2,526.92
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 $1,215.00 / $1,839.77 / $3,600.88	Professional		$1,215.00	$1,839.77	$3,600.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,927.15 / $1,927.15 / $1,927.15	Facility		$1,927.15	$1,927.15	$1,927.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,432.52 / $4,250.64	Facility		$1,000.00	$1,432.52	$4,250.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,345.72 / $1,998.57 / $3,685.78	Professional		$1,345.72	$1,998.57	$3,685.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,442.31 / $2,029.38 / $3,627.05	Professional		$1,442.31	$2,029.38	$3,627.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,908.50 / $2,176.60 / $5,279.06	Professional		$1,908.50	$2,176.60	$5,279.06
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 $1,123.90 / $1,792.53 / $3,259.53	Professional		$1,123.90	$1,792.53	$3,259.53