Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,304.58 / $5,045.00 / $6,915.00	Facility		$1,304.58	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,212.47 / $1,449.62 / $2,668.62	Professional		$1,212.47	$1,449.62	$2,668.62
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 $1,307.55 / $1,996.81 / $3,398.40	Professional		$1,307.55	$1,996.81	$3,398.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,990.01 / $1,990.01 / $1,990.01	Facility		$1,990.01	$1,990.01	$1,990.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,224.03 / $1,224.03 / $1,224.03	Professional		$1,224.03	$1,224.03	$1,224.03
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 $1,315.98 / $2,007.02 / $3,106.44	Professional		$1,315.98	$2,007.02	$3,106.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,296.94 / $1,686.02 / $3,036.28	Professional		$1,296.94	$1,686.02	$3,036.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,350.19 / $3,277.30	Professional		$15.00	$2,350.19	$3,277.30
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 $1,241.19 / $1,792.68 / $3,102.98	Professional		$1,241.19	$1,792.68	$3,102.98