Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,525.54 / $5,045.00 / $6,915.00	Facility		$1,525.54	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,417.19 / $1,694.13 / $3,143.90	Professional		$1,417.19	$1,694.13	$3,143.90
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 $1,517.63 / $2,335.02 / $4,036.89	Professional		$1,517.63	$2,335.02	$4,036.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,357.12 / $2,357.12 / $2,357.12	Facility		$2,357.12	$2,357.12	$2,357.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,418.17 / $1,418.17 / $1,418.17	Professional		$1,418.17	$1,418.17	$1,418.17
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 $1,483.78 / $2,384.03 / $3,605.25	Professional		$1,483.78	$2,384.03	$3,605.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,505.20 / $1,956.76 / $3,523.84	Professional		$1,505.20	$1,956.76	$3,523.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,785.70 / $3,838.90	Professional		$7.00	$2,785.70	$3,838.90
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 $1,458.50 / $2,092.44 / $3,558.48	Professional		$1,458.50	$2,092.44	$3,558.48