Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,176.84 / $5,045.00 / $6,915.00	Facility		$1,176.84	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,069.03 / $1,306.78 / $2,391.38	Professional		$1,069.03	$1,306.78	$2,391.38
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 $1,192.58 / $1,806.50 / $3,029.19	Professional		$1,192.58	$1,806.50	$3,029.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,694.11 / $1,694.11 / $1,694.11	Facility		$1,694.11	$1,694.11	$1,694.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,116.55 / $1,116.55 / $1,116.55	Professional		$1,116.55	$1,116.55	$1,116.55
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 $1,096.20 / $1,826.32 / $2,838.40	Professional		$1,096.20	$1,826.32	$2,838.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,185.03 / $1,540.54 / $2,732.52	Professional		$1,185.03	$1,540.54	$2,732.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,079.40 / $3,003.80	Professional		$7.00	$2,079.40	$3,003.80
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 $1,111.59 / $1,547.85 / $2,639.06	Professional		$1,111.59	$1,547.85	$2,639.06