Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,452.69 / $5,045.00 / $6,915.00	Facility		$1,452.69	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,370.68 / $1,659.14 / $3,094.22	Professional		$1,370.68	$1,659.14	$3,094.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.95 / $3,801.18 / $9,469.26	Facility		$659.95	$3,801.18	$9,469.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,429.01 / $2,095.37 / $3,742.90	Professional		$1,429.01	$2,095.37	$3,742.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,163.00 / $2,163.00 / $2,163.00	Facility		$2,163.00	$2,163.00	$2,163.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,364.26 / $1,364.26 / $1,364.26	Professional		$1,364.26	$1,364.26	$1,364.26
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 $1,365.23 / $2,267.29 / $3,442.07	Professional		$1,365.23	$2,267.29	$3,442.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,437.07 / $1,868.19 / $3,364.35	Professional		$1,437.07	$1,868.19	$3,364.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,630.30 / $3,617.90	Professional		$15.00	$2,630.30	$3,617.90
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 $1,382.54 / $1,987.91 / $3,253.72	Professional		$1,382.54	$1,987.91	$3,253.72