Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,804.38 / $5,045.00 / $6,915.00	Facility		$1,804.38	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,657.46 / $2,005.71 / $3,661.61	Professional		$1,657.46	$2,005.71	$3,661.61
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 $1,793.85 / $2,761.80 / $4,644.37	Professional		$1,793.85	$2,761.80	$4,644.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,602.53 / $2,602.53 / $2,602.53	Facility		$2,602.53	$2,602.53	$2,602.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,693.18 / $1,693.18 / $1,693.18	Professional		$1,693.18	$1,693.18	$1,693.18
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 $1,677.57 / $2,790.62 / $4,296.63	Professional		$1,677.57	$2,790.62	$4,296.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,793.85 / $2,332.01 / $4,153.99	Professional		$1,793.85	$2,332.01	$4,153.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $3,168.20 / $4,546.60	Professional		$11.00	$3,168.20	$4,546.60
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 $1,693.14 / $2,374.71 / $3,987.05	Professional		$1,693.14	$2,374.71	$3,987.05