Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,395.72 / $5,045.00 / $6,915.00	Facility		$1,395.72	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,051.59 / $1,325.43 / $2,054.44	Professional		$1,051.59	$1,325.43	$2,054.44
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 $964.06 / $1,412.91 / $2,634.61	Professional		$964.06	$1,412.91	$2,634.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,809.42 / $2,198.94 / $74,999.25	Facility		$1,809.42	$2,198.94	$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 $977.95 / $1,478.33 / $2,752.31	Professional		$977.95	$1,478.33	$2,752.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.30 / $1,670.26 / $8,500.77	Professional		$1,148.30	$1,670.26	$8,500.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,359.80 / $1,551.02 / $1,628.50	Professional		$1,359.80	$1,551.02	$1,628.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,250.00 / $7,299.00 / $11,889.00	Facility		$1,250.00	$7,299.00	$11,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $990.83 / $1,304.45 / $2,378.15	Professional		$990.83	$1,304.45	$2,378.15