Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.30 / $5,045.00 / $6,915.00	Facility		$1,412.30	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,299.33 / $1,569.23 / $2,863.02	Professional		$1,299.33	$1,569.23	$2,863.02
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 $1,414.55 / $2,156.94 / $3,592.94	Professional		$1,414.55	$2,156.94	$3,592.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,020.67 / $2,020.67 / $2,020.67	Facility		$2,020.67	$2,020.67	$2,020.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,324.78 / $1,324.78 / $1,324.78	Professional		$1,324.78	$1,324.78	$1,324.78
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 $1,317.64 / $2,178.94 / $3,363.15	Professional		$1,317.64	$2,178.94	$3,363.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,404.12 / $1,825.36 / $3,240.20	Professional		$1,404.12	$1,825.36	$3,240.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,328.70 / $2,274.67 / $2,999.50	Professional		$1,328.70	$2,274.67	$2,999.50
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 $1,317.42 / $1,867.98 / $3,394.74	Professional		$1,317.42	$1,867.98	$3,394.74