Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.73 / $5,045.00 / $6,915.00	Facility		$1,324.73	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,254.61 / $1,475.83 / $2,725.71	Professional		$1,254.61	$1,475.83	$2,725.71
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 $1,325.00 / $2,088.08 / $3,524.51	Professional		$1,325.00	$2,088.08	$3,524.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,079.89 / $2,079.89 / $2,079.89	Facility		$2,079.89	$2,079.89	$2,079.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,243.63 / $1,243.63 / $1,243.63	Professional		$1,243.63	$1,243.63	$1,243.63
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 $1,375.48 / $2,101.30 / $3,147.83	Professional		$1,375.48	$2,101.30	$3,147.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,314.22 / $1,708.49 / $3,076.75	Professional		$1,314.22	$1,708.49	$3,076.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,387.30 / $3,314.50	Professional		$15.00	$2,387.30	$3,314.50
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 $1,266.82 / $1,818.48 / $3,177.39	Professional		$1,266.82	$1,818.48	$3,177.39