Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,434.43 / $5,063.00 / $6,915.00	Facility		$1,434.43	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,354.95 / $1,602.93 / $3,072.44	Professional		$1,354.95	$1,602.93	$3,072.44
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 $1,502.34 / $2,472.55 / $3,927.40	Professional		$1,502.34	$2,472.55	$3,927.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,870.29 / $1,870.29 / $1,870.29	Facility		$1,870.29	$1,870.29	$1,870.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,342.90 / $1,342.90 / $1,342.90	Professional		$1,342.90	$1,342.90	$1,342.90
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 $1,455.15 / $2,396.13 / $3,906.18	Professional		$1,455.15	$2,396.13	$3,906.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,414.36 / $1,838.67 / $8,185.00	Professional		$1,414.36	$1,838.67	$8,185.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $2,687.90 / $3,569.70	Professional		$12.00	$2,687.90	$3,569.70
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 $1,409.18 / $2,172.31 / $3,510.10	Professional		$1,409.18	$2,172.31	$3,510.10