Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,812.50 / $5,045.00 / $6,915.00	Facility		$1,812.50	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,667.41 / $2,016.96 / $3,677.98	Professional		$1,667.41	$2,016.96	$3,677.98
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 $1,812.98 / $2,793.37 / $4,606.96	Professional		$1,812.98	$2,793.37	$4,606.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,616.88 / $2,616.88 / $2,616.88	Facility		$2,616.88	$2,616.88	$2,616.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,700.88 / $1,700.88 / $1,700.88	Professional		$1,700.88	$1,700.88	$1,700.88
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 $1,687.40 / $2,813.13 / $4,311.30	Professional		$1,687.40	$2,813.13	$4,311.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,799.97 / $2,339.96 / $4,177.99	Professional		$1,799.97	$2,339.96	$4,177.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $3,190.60 / $4,555.60	Professional		$7.00	$3,190.60	$4,555.60
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 $1,687.27 / $2,330.03 / $4,230.92	Professional		$1,687.27	$2,330.03	$4,230.92