Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,394.45 / $5,045.00 / $6,915.00	Facility		$1,394.45	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,282.60 / $1,549.45 / $2,827.22	Professional		$1,282.60	$1,549.45	$2,827.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $925.00 / $4,522.35 / $17,272.82	Facility		$925.00	$4,522.35	$17,272.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,396.92 / $2,144.30 / $3,561.69	Professional		$1,396.92	$2,144.30	$3,561.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,047.76 / $2,047.76 / $2,047.76	Facility		$2,047.76	$2,047.76	$2,047.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,308.76 / $1,308.76 / $1,308.76	Professional		$1,308.76	$1,308.76	$1,308.76
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 $1,297.52 / $2,164.79 / $3,322.31	Professional		$1,297.52	$2,164.79	$3,322.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,387.07 / $1,803.19 / $3,247.28	Professional		$1,387.07	$1,803.19	$3,247.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,457.50 / $3,512.80	Professional		$7.00	$2,457.50	$3,512.80
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 $1,322.08 / $1,862.84 / $3,247.11	Professional		$1,322.08	$1,862.84	$3,247.11