Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,648.15 / $5,045.00 / $6,915.00	Facility		$1,648.15	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,483.52 / $1,830.53 / $3,291.24	Professional		$1,483.52	$1,830.53	$3,291.24
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 $1,651.93 / $2,522.67 / $4,245.46	Professional		$1,651.93	$2,522.67	$4,245.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,365.31 / $2,365.31 / $2,365.31	Facility		$2,365.31	$2,365.31	$2,365.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,546.59 / $1,546.59 / $1,546.59	Professional		$1,546.59	$1,546.59	$1,546.59
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 $1,517.52 / $2,537.25 / $3,927.83	Professional		$1,517.52	$2,537.25	$3,927.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,639.87 / $2,131.83 / $3,802.08	Professional		$1,639.87	$2,131.83	$3,802.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $2,860.30 / $4,157.80	Professional		$11.00	$2,860.30	$4,157.80
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $2,969.00 / $21,882.00	Facility		$400.00	$2,969.00	$21,882.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,539.26 / $2,220.89 / $3,655.85	Professional		$1,539.26	$2,220.89	$3,655.85