Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,842.88 / $5,045.00 / $6,915.00	Facility		$1,842.88	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,689.56 / $2,050.67 / $3,776.30	Professional		$1,689.56	$2,050.67	$3,776.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.95 / $3,595.87 / $8,313.99	Facility		$659.95	$3,595.87	$8,313.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,779.89 / $2,868.36 / $4,764.64	Professional		$1,779.89	$2,868.36	$4,764.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,801.48 / $2,801.48 / $2,801.48	Facility		$2,801.48	$2,801.48	$2,801.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,665.99 / $1,665.99 / $1,665.99	Professional		$1,665.99	$1,665.99	$1,665.99
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 $1,741.39 / $2,891.03 / $4,322.56	Professional		$1,741.39	$2,891.03	$4,322.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,765.24 / $2,294.81 / $4,132.64	Professional		$1,765.24	$2,294.81	$4,132.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $3,330.40 / $4,599.39	Professional		$7.00	$3,330.40	$4,599.39
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 $1,761.44 / $2,486.23 / $4,267.82	Professional		$1,761.44	$2,486.23	$4,267.82