Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,522.74 / $5,045.00 / $6,915.00	Facility		$1,522.74	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,402.54 / $1,693.40 / $3,090.09	Professional		$1,402.54	$1,693.40	$3,090.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.95 / $3,801.18 / $10,304.31	Facility		$659.95	$3,801.18	$10,304.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,520.11 / $2,330.71 / $3,882.24	Professional		$1,520.11	$2,330.71	$3,882.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,222.65 / $2,222.65 / $2,222.65	Facility		$2,222.65	$2,222.65	$2,222.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,429.37 / $1,429.37 / $1,429.37	Professional		$1,429.37	$1,429.37	$1,429.37
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 $1,410.75 / $2,325.65 / $3,625.57	Professional		$1,410.75	$2,325.65	$3,625.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.68 / $1,967.78 / $3,543.71	Professional		$1,513.68	$1,967.78	$3,543.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,678.80 / $3,833.00	Professional		$7.00	$2,678.80	$3,833.00
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 $1,444.09 / $2,005.68 / $3,485.51	Professional		$1,444.09	$2,005.68	$3,485.51