Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.73 / $4,592.00 / $6,915.00	Facility		$1,301.73	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,111.38 / $1,347.59 / $2,058.91	Professional		$1,111.38	$1,347.59	$2,058.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $606.69 / $2,085.16 / $3,851.83	Facility		$606.69	$2,085.16	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $999.48 / $1,497.84 / $2,792.96	Professional		$999.48	$1,497.84	$2,792.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,933.50 / $2,339.30 / $74,999.25	Facility		$1,933.50	$2,339.30	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.63 / $372.03 / $778.00	Facility		$297.63	$372.03	$778.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,048.67 / $1,615.12 / $2,969.66	Professional		$1,048.67	$1,615.12	$2,969.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,221.58 / $1,776.86 / $9,019.14	Professional		$1,221.58	$1,776.86	$9,019.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,381.00 / $1,669.36 / $3,081.10	Professional		$1,381.00	$1,669.36	$3,081.10
United Facility/Professional Facility Modifier Low / Median / High Price $424.00 / $2,296.00 / $3,593.00	Facility		$424.00	$2,296.00	$3,593.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,054.02 / $1,425.26 / $2,472.73	Professional		$1,054.02	$1,425.26	$2,472.73