Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,056.55 / $5,045.00 / $6,915.00	Facility		$1,056.55	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $994.57 / $1,173.79 / $2,161.71	Professional		$994.57	$1,173.79	$2,161.71
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 $1,058.07 / $1,635.68 / $2,814.46	Professional		$1,058.07	$1,635.68	$2,814.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,638.56 / $1,638.56 / $1,638.56	Facility		$1,638.56	$1,638.56	$1,638.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $990.99 / $990.99 / $990.99	Professional		$990.99	$990.99	$990.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $1,207.13	Facility		$200.00	$617.00	$1,207.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.64 / $1,641.41 / $2,515.56	Professional		$1,023.64	$1,641.41	$2,515.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,050.25 / $1,365.33 / $2,458.76	Professional		$1,050.25	$1,365.33	$2,458.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,908.20 / $2,653.00	Professional		$6.00	$1,908.20	$2,653.00
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 $1,021.04 / $1,472.68 / $2,455.66	Professional		$1,021.04	$1,472.68	$2,455.66