Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,282.30 / $5,063.00 / $9,488.00	Facility		$1,282.30	$5,063.00	$9,488.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,175.84 / $1,423.55 / $2,605.13	Professional		$1,175.84	$1,423.55	$2,605.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.95 / $4,492.39 / $19,550.45	Facility		$659.95	$4,492.39	$19,550.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,285.31 / $1,954.36 / $3,303.24	Professional		$1,285.31	$1,954.36	$3,303.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,830.87 / $1,830.87 / $1,830.87	Facility		$1,830.87	$1,830.87	$1,830.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,203.05 / $1,203.05 / $1,203.05	Professional		$1,203.05	$1,203.05	$1,203.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $703.00 / $9,353.00	Facility		$400.00	$703.00	$9,353.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,231.78 / $1,986.36 / $3,056.80	Professional		$1,231.78	$1,986.36	$3,056.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,276.22 / $1,659.09 / $3,323.32	Professional		$1,276.22	$1,659.09	$3,323.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $2,256.50 / $3,237.10	Professional		$11.00	$2,256.50	$3,237.10
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 $1,192.33 / $1,644.11 / $2,979.65	Professional		$1,192.33	$1,644.11	$2,979.65