Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,528.76 / $5,063.00 / $6,915.00	Facility		$1,528.76	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,443.19 / $1,709.14 / $3,162.36	Professional		$1,443.19	$1,709.14	$3,162.36
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 $1,603.83 / $2,620.73 / $4,190.93	Professional		$1,603.83	$2,620.73	$4,190.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,041.26 / $2,041.26 / $2,041.26	Facility		$2,041.26	$2,041.26	$2,041.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,431.68 / $1,431.68 / $1,431.68	Professional		$1,431.68	$1,431.68	$1,431.68
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 $1,479.00 / $2,557.78 / $4,161.03	Professional		$1,479.00	$2,557.78	$4,161.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,507.11 / $1,959.24 / $8,816.00	Professional		$1,507.11	$1,959.24	$8,816.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $3,167.00 / $3,801.40	Professional		$12.00	$3,167.00	$3,801.40
United Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $2,923.00 / $8,133.00	Facility		$450.00	$2,923.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,521.69 / $2,345.42 / $3,835.84	Professional		$1,521.69	$2,345.42	$3,835.84