Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,356.35 / $5,045.00 / $6,915.00	Facility		$1,356.35	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,247.78 / $1,506.75 / $2,750.01	Professional		$1,247.78	$1,506.75	$2,750.01
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 $1,357.79 / $2,085.71 / $3,489.52	Professional		$1,357.79	$2,085.71	$3,489.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,972.87 / $1,972.87 / $1,972.87	Facility		$1,972.87	$1,972.87	$1,972.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,272.29 / $1,272.29 / $1,272.29	Professional		$1,272.29	$1,272.29	$1,272.29
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 $1,262.30 / $2,097.78 / $3,230.62	Professional		$1,262.30	$2,097.78	$3,230.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.79 / $1,753.43 / $3,157.67	Professional		$1,348.79	$1,753.43	$3,157.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,365.40 / $3,418.60	Professional		$7.00	$2,365.40	$3,418.60
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 $1,285.43 / $1,843.63 / $3,050.44	Professional		$1,285.43	$1,843.63	$3,050.44