Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,362.00 / $3,391.00 / $6,915.00	Facility		$1,362.00	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,109.18 / $1,465.30 / $2,839.68	Professional		$1,109.18	$1,465.30	$2,839.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $762.43 / $3,392.46 / $8,545.91	Facility		$762.43	$3,392.46	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,273.96 / $1,901.48 / $3,497.54	Professional		$1,273.96	$1,901.48	$3,497.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,023.32 / $2,023.32 / $2,023.32	Facility		$2,023.32	$2,023.32	$2,023.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $1,470.59 / $4,250.64	Facility		$640.00	$1,470.59	$4,250.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,394.75 / $2,024.46 / $3,877.08	Professional		$1,394.75	$2,024.46	$3,877.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.31 / $2,098.69 / $3,720.10	Professional		$1,479.31	$2,098.69	$3,720.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,958.53 / $2,229.92 / $5,412.63	Professional		$1,958.53	$2,229.92	$5,412.63
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 $1,155.88 / $1,788.42 / $2,991.30	Professional		$1,155.88	$1,788.42	$2,991.30