Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,294.04 / $5,045.00 / $6,915.00	Facility		$1,294.04	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $945.46 / $1,191.56 / $1,697.87	Professional		$945.46	$1,191.56	$1,697.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $875.94 / $2,446.00 / $5,084.83	Facility		$875.94	$2,446.00	$5,084.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $848.00 / $1,273.82 / $2,375.25	Professional		$848.00	$1,273.82	$2,375.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,629.86 / $1,983.38 / $74,999.25	Facility		$1,629.86	$1,983.38	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,325.29 / $1,668.88	Facility		$630.00	$1,325.29	$1,668.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $883.40 / $1,277.59 / $2,480.10	Professional		$883.40	$1,277.59	$2,480.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,035.73 / $1,506.51 / $7,651.98	Professional		$1,035.73	$1,506.51	$7,651.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $795.85 / $1,407.20 / $1,883.14	Professional		$795.85	$1,407.20	$1,883.14
United Facility/Professional Facility Modifier Low / Median / High Price $107.00 / $1,550.00 / $2,665.00	Facility		$107.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $872.67 / $1,174.75 / $2,096.50	Professional		$872.67	$1,174.75	$2,096.50