Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,384.69 / $5,045.00 / $6,915.00	Facility		$1,384.69	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,312.79 / $1,543.36 / $2,850.41	Professional		$1,312.79	$1,543.36	$2,850.41
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 $1,385.54 / $2,119.42 / $3,700.09	Professional		$1,385.54	$2,119.42	$3,700.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,165.41 / $2,165.41 / $2,165.41	Facility		$2,165.41	$2,165.41	$2,165.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,299.80 / $1,299.80 / $1,299.80	Professional		$1,299.80	$1,299.80	$1,299.80
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 $1,438.94 / $2,195.00 / $3,288.44	Professional		$1,438.94	$2,195.00	$3,288.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,372.93 / $1,784.81 / $3,214.18	Professional		$1,372.93	$1,784.81	$3,214.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,652.10 / $3,463.20	Professional		$15.00	$2,652.10	$3,463.20
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 $1,345.69 / $1,913.45 / $3,506.21	Professional		$1,345.69	$1,913.45	$3,506.21