Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,319.99 / $5,063.00 / $6,915.00	Facility		$1,319.99	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,245.76 / $1,476.28 / $2,735.65	Professional		$1,245.76	$1,476.28	$2,735.65
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 $1,361.65 / $2,234.51 / $3,620.92	Professional		$1,361.65	$2,234.51	$3,620.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,708.13 / $1,708.13 / $1,708.13	Facility		$1,708.13	$1,708.13	$1,708.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,236.89 / $1,236.89 / $1,236.89	Professional		$1,236.89	$1,236.89	$1,236.89
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 $1,341.71 / $2,156.17 / $3,597.11	Professional		$1,341.71	$2,156.17	$3,597.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,301.66 / $1,692.16 / $7,247.00	Professional		$1,301.66	$1,692.16	$7,247.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $2,339.80 / $3,280.80	Professional		$12.00	$2,339.80	$3,280.80
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 $1,301.57 / $1,961.99 / $3,350.26	Professional		$1,301.57	$1,961.99	$3,350.26