Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,334.74 / $5,045.00 / $6,915.00	Facility		$1,334.74	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,189.89 / $1,482.54 / $2,704.27	Professional		$1,189.89	$1,482.54	$2,704.27
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 $1,336.10 / $2,050.48 / $3,433.77	Professional		$1,336.10	$2,050.48	$3,433.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,938.08 / $1,938.08 / $1,938.08	Facility		$1,938.08	$1,938.08	$1,938.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,251.31 / $1,251.31 / $1,251.31	Professional		$1,251.31	$1,251.31	$1,251.31
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 $1,241.07 / $2,051.25 / $3,177.75	Professional		$1,241.07	$2,051.25	$3,177.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,326.72 / $1,724.74 / $3,102.61	Professional		$1,326.72	$1,724.74	$3,102.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,353.40 / $3,363.10	Professional		$7.00	$2,353.40	$3,363.10
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 $1,264.07 / $1,819.36 / $3,103.49	Professional		$1,264.07	$1,819.36	$3,103.49