Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,029.06 / $6,142.80 / $15,322.85	Facility		$1,029.06	$6,142.80	$15,322.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $991.87 / $1,029.07 / $1,053.85	Professional		$991.87	$1,029.07	$1,053.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $511.55 / $511.55 / $1,877.39	Facility		$511.55	$511.55	$1,877.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,033.20 / $1,062.72 / $1,121.76	Professional		$1,033.20	$1,062.72	$1,121.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,053.85 / $1,084.85 / $1,084.85	Facility		$1,053.85	$1,084.85	$1,084.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $1,053.85	Facility		$1,053.85	$1,053.85	$1,053.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $1,053.85	Professional		$1,053.85	$1,053.85	$1,053.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,003.68 / $1,003.68 / $2,653.00	Professional		$1,003.68	$1,003.68	$2,653.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,314.41 / $1,905.89 / $2,204.05	Professional		$1,314.41	$1,905.89	$2,204.05
United Facility/Professional Professional Modifier Low / Median / High Price $1,033.20 / $1,033.20 / $1,375.29	Professional		$1,033.20	$1,033.20	$1,375.29