Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,083.22 / $5,045.00 / $6,915.00	Facility		$1,083.22	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,016.31 / $1,196.26 / $2,307.48	Professional		$1,016.31	$1,196.26	$2,307.48
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 $1,088.46 / $1,719.77 / $2,922.92	Professional		$1,088.46	$1,719.77	$2,922.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,715.10 / $1,715.10 / $1,715.10	Facility		$1,715.10	$1,715.10	$1,715.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,009.46 / $1,009.46 / $1,009.46	Professional		$1,009.46	$1,009.46	$1,009.46
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 $1,060.25 / $1,726.17 / $2,604.10	Professional		$1,060.25	$1,726.17	$2,604.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,078.38 / $1,401.89 / $2,982.31	Professional		$1,078.38	$1,401.89	$2,982.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,963.20 / $2,762.60	Professional		$6.00	$1,963.20	$2,762.60
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 $1,057.95 / $1,490.62 / $2,593.03	Professional		$1,057.95	$1,490.62	$2,593.03