Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,308.88 / $5,045.00 / $6,915.00	Facility		$1,308.88	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.45 / $1,453.67 / $2,654.63	Professional		$1,202.45	$1,453.67	$2,654.63
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 $1,303.40 / $2,003.38 / $3,332.80	Professional		$1,303.40	$2,003.38	$3,332.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,880.30 / $1,880.30 / $1,880.30	Facility		$1,880.30	$1,880.30	$1,880.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,229.21 / $1,229.21 / $1,229.21	Professional		$1,229.21	$1,229.21	$1,229.21
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 $1,214.58 / $2,007.89 / $3,121.90	Professional		$1,214.58	$2,007.89	$3,121.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,303.40 / $1,694.42 / $3,024.45	Professional		$1,303.40	$1,694.42	$3,024.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,259.90 / $3,301.80	Professional		$7.00	$2,259.90	$3,301.80
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 $1,240.32 / $1,720.57 / $2,892.37	Professional		$1,240.32	$1,720.57	$2,892.37