Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,465.22 / $5,045.00 / $6,915.00	Facility		$1,465.22	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,382.35 / $1,636.69 / $3,034.06	Professional		$1,382.35	$1,636.69	$3,034.06
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 $1,463.25 / $2,392.38 / $4,050.25	Professional		$1,463.25	$2,392.38	$4,050.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,375.04 / $2,375.04 / $2,375.04	Facility		$2,375.04	$2,375.04	$2,375.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,375.64 / $1,375.64 / $1,375.64	Professional		$1,375.64	$1,375.64	$1,375.64
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 $1,518.96 / $2,363.21 / $3,650.00	Professional		$1,518.96	$2,363.21	$3,650.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,449.74 / $1,884.66 / $3,921.37	Professional		$1,449.74	$1,884.66	$3,921.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,645.80 / $3,652.90	Professional		$15.00	$2,645.80	$3,652.90
United Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $2,901.00 / $8,133.00	Facility		$450.00	$2,901.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,425.05 / $2,066.29 / $3,505.04	Professional		$1,425.05	$2,066.29	$3,505.04