Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,113.90 / $5,045.00 / $6,915.00	Facility		$1,113.90	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,039.40 / $1,218.47 / $2,428.37	Professional		$1,039.40	$1,218.47	$2,428.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.95 / $3,801.18 / $10,304.31	Facility		$659.95	$3,801.18	$10,304.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,155.35 / $1,627.51 / $2,900.85	Professional		$1,155.35	$1,627.51	$2,900.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,478.35 / $1,478.35 / $1,478.35	Facility		$1,478.35	$1,478.35	$1,478.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,090.83 / $1,090.83 / $1,090.83	Professional		$1,090.83	$1,090.83	$1,090.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $1,233.00	Facility		$200.00	$617.00	$1,233.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,026.66 / $1,773.79 / $2,898.54	Professional		$1,026.66	$1,773.79	$2,898.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,155.35 / $1,501.97 / $2,195.69	Professional		$1,155.35	$1,501.97	$2,195.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,046.70 / $2,922.60	Professional		$7.00	$2,046.70	$2,922.60
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $2,969.00 / $9,079.00	Facility		$400.00	$2,969.00	$9,079.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,054.45 / $1,487.67 / $2,512.80	Professional		$1,054.45	$1,487.67	$2,512.80