Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,207.96 / $4,829.00 / $6,915.00	Facility		$1,207.96	$4,829.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $839.58 / $1,061.70 / $1,524.14	Professional		$839.58	$1,061.70	$1,524.14
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 $758.68 / $1,140.15 / $2,126.01	Professional		$758.68	$1,140.15	$2,126.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,453.95 / $1,710.54 / $74,999.25	Facility		$1,453.95	$1,710.54	$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 $790.41 / $1,174.41 / $2,234.84	Professional		$790.41	$1,174.41	$2,234.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $927.28 / $1,330.26 / $6,844.48	Professional		$927.28	$1,330.26	$6,844.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,104.31 / $1,341.03 / $3,021.26	Professional		$1,104.31	$1,341.03	$3,021.26
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 $760.77 / $1,050.83 / $1,876.98	Professional		$760.77	$1,050.83	$1,876.98