Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,957.91 / $5,595.00 / $14,497.00	Facility		$1,957.91	$5,595.00	$14,497.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,171.36 / $1,417.62 / $2,587.14	Professional		$1,171.36	$1,417.62	$2,587.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $4,800.00 / $23,000.53	Facility		$814.00	$4,800.00	$23,000.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,279.25 / $2,021.21 / $3,402.80	Professional		$1,279.25	$2,021.21	$3,402.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,851.44 / $1,851.44 / $1,851.44	Facility		$1,851.44	$1,851.44	$1,851.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,195.99 / $1,195.99 / $1,195.99	Professional		$1,195.99	$1,195.99	$1,195.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $703.00 / $9,375.00	Facility		$400.00	$703.00	$9,375.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,235.71 / $1,980.85 / $3,042.56	Professional		$1,235.71	$1,980.85	$3,042.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,270.27 / $1,651.35 / $3,581.16	Professional		$1,270.27	$1,651.35	$3,581.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $2,245.40 / $3,229.90	Professional		$11.00	$2,245.40	$3,229.90
United Facility/Professional Facility Modifier Low / Median / High Price $741.00 / $5,664.00 / $24,871.00	Facility		$741.00	$5,664.00	$24,871.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,196.11 / $1,673.11 / $2,964.64	Professional		$1,196.11	$1,673.11	$2,964.64