Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,705.95 / $5,045.00 / $6,915.00	Facility		$1,705.95	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,569.32 / $1,898.74 / $3,463.40	Professional		$1,569.32	$1,898.74	$3,463.40
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 $1,707.80 / $2,611.15 / $4,389.42	Professional		$1,707.80	$2,611.15	$4,389.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,505.85 / $2,505.85 / $2,505.85	Facility		$2,505.85	$2,505.85	$2,505.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,600.94 / $1,600.94 / $1,600.94	Professional		$1,600.94	$1,600.94	$1,600.94
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 $1,584.96 / $2,622.79 / $4,057.40	Professional		$1,584.96	$2,622.79	$4,057.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,693.97 / $2,202.16 / $3,965.78	Professional		$1,693.97	$2,202.16	$3,965.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,979.90 / $4,288.39	Professional		$7.00	$2,979.90	$4,288.39
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 $1,619.62 / $2,224.62 / $3,835.55	Professional		$1,619.62	$2,224.62	$3,835.55