Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,212.44 / $4,829.00 / $6,915.00	Facility		$1,212.44	$4,829.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $839.93 / $1,062.16 / $1,516.71	Professional		$839.93	$1,062.16	$1,516.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,078.17 / $3,640.00 / $8,094.63	Facility		$1,078.17	$3,640.00	$8,094.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $759.26 / $1,140.58 / $2,126.83	Professional		$759.26	$1,140.58	$2,126.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,455.06 / $1,777.05 / $74,999.25	Facility		$1,455.06	$1,777.05	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $778.00 / $2,285.73 / $2,878.34	Facility		$778.00	$2,285.73	$2,878.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $792.59 / $1,178.77 / $2,236.64	Professional		$792.59	$1,178.77	$2,236.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $927.99 / $1,338.16 / $6,847.19	Professional		$927.99	$1,338.16	$6,847.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,105.15 / $1,342.07 / $3,023.59	Professional		$1,105.15	$1,342.07	$3,023.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,180.00 / $4,581.00 / $7,647.00	Facility		$1,180.00	$4,581.00	$7,647.00
United Facility/Professional Professional Modifier Low / Median / High Price $761.38 / $1,070.45 / $2,005.89	Professional		$761.38	$1,070.45	$2,005.89