Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,976.82 / $5,045.00 / $6,915.00	Facility		$1,976.82	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,817.66 / $2,202.31 / $3,999.98	Professional		$1,817.66	$2,202.31	$3,999.98
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 $1,977.89 / $3,034.16 / $5,029.26	Professional		$1,977.89	$3,034.16	$5,029.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,895.33 / $2,895.33 / $2,895.33	Facility		$2,895.33	$2,895.33	$2,895.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,856.82 / $1,856.82 / $1,856.82	Professional		$1,856.82	$1,856.82	$1,856.82
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 $1,828.34 / $3,029.96 / $4,701.20	Professional		$1,828.34	$3,029.96	$4,701.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,962.75 / $2,551.58 / $4,595.04	Professional		$1,962.75	$2,551.58	$4,595.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $3,409.70 / $4,963.70	Professional		$7.00	$3,409.70	$4,963.70
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 $1,879.20 / $2,712.98 / $4,623.20	Professional		$1,879.20	$2,712.98	$4,623.20