Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,111.86 / $5,063.00 / $6,915.00	Facility		$1,111.86	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,051.34 / $1,241.83 / $2,296.13	Professional		$1,051.34	$1,241.83	$2,296.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $3,640.00 / $9,156.52	Facility		$814.00	$3,640.00	$9,156.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,142.38 / $1,882.03 / $3,046.22	Professional		$1,142.38	$1,882.03	$3,046.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,478.46 / $1,478.46 / $1,478.46	Facility		$1,478.46	$1,478.46	$1,478.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,041.47 / $1,041.47 / $1,041.47	Professional		$1,041.47	$1,041.47	$1,041.47
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 $1,167.91 / $1,828.40 / $3,029.54	Professional		$1,167.91	$1,828.40	$3,029.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,097.44 / $1,426.67 / $6,319.00	Professional		$1,097.44	$1,426.67	$6,319.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $2,047.30 / $2,770.90	Professional		$12.00	$2,047.30	$2,770.90
United Facility/Professional Facility Modifier Low / Median / High Price $485.00 / $2,907.00 / $8,133.00	Facility		$485.00	$2,907.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,087.66 / $1,662.50 / $2,734.98	Professional		$1,087.66	$1,662.50	$2,734.98