Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.00 / $6,014.00 / $9,488.00	Facility		$1,791.00	$6,014.00	$9,488.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $666.74 / $818.82 / $1,077.90	Professional		$666.74	$818.82	$1,077.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,195.63 / $4,075.69 / $8,545.91	Facility		$1,195.63	$4,075.69	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.25 / $1,261.52 / $1,440.17	Professional		$831.25	$1,261.52	$1,440.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,532.06 / $1,843.43 / $74,999.25	Facility		$1,532.06	$1,843.43	$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 $648.05 / $1,443.36 / $2,426.65	Professional		$648.05	$1,443.36	$2,426.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,097.08 / $6,165.00 / $6,542.61	Professional		$1,097.08	$6,165.00	$6,542.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $927.17 / $1,442.27 / $1,639.39	Professional		$927.17	$1,442.27	$1,639.39
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 $798.42 / $1,157.71 / $1,831.40	Professional		$798.42	$1,157.71	$1,831.40