Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.73 / $5,045.00 / $6,915.00	Facility		$1,288.73	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,212.89 / $1,432.47 / $2,638.67	Professional		$1,212.89	$1,432.47	$2,638.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $790.00 / $4,803.35 / $17,272.82	Facility		$790.00	$4,803.35	$17,272.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,292.02 / $2,012.98 / $3,516.96	Professional		$1,292.02	$2,012.98	$3,516.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,033.25 / $2,033.25 / $2,033.25	Facility		$2,033.25	$2,033.25	$2,033.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,209.70 / $1,209.70 / $1,209.70	Professional		$1,209.70	$1,209.70	$1,209.70
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 $1,342.13 / $2,052.60 / $3,144.58	Professional		$1,342.13	$2,052.60	$3,144.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,281.27 / $1,665.65 / $2,999.62	Professional		$1,281.27	$1,665.65	$2,999.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,323.90 / $3,238.00	Professional		$15.00	$2,323.90	$3,238.00
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 $1,229.82 / $1,771.05 / $3,097.73	Professional		$1,229.82	$1,771.05	$3,097.73