Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,273.93 / $4,368.00 / $6,915.00	Facility		$1,273.93	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $945.44 / $1,197.83 / $1,718.40	Professional		$945.44	$1,197.83	$1,718.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $746.52 / $2,292.94 / $5,084.83	Facility		$746.52	$2,292.94	$5,084.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $873.00 / $1,281.11 / $2,388.87	Professional		$873.00	$1,281.11	$2,388.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,638.66 / $1,996.16 / $74,999.25	Facility		$1,638.66	$1,996.16	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $551.00 / $1,325.29 / $1,668.88	Facility		$551.00	$1,325.29	$1,668.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $897.89 / $1,340.06 / $2,516.98	Professional		$897.89	$1,340.06	$2,516.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,042.40 / $1,516.22 / $7,700.79	Professional		$1,042.40	$1,516.22	$7,700.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,241.41 / $1,511.40 / $3,405.10	Professional		$1,241.41	$1,511.40	$3,405.10
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 $876.94 / $1,206.24 / $2,168.30	Professional		$876.94	$1,206.24	$2,168.30