Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,863.15 / $5,045.00 / $6,915.00	Facility		$1,863.15	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,740.17 / $2,094.30 / $4,038.81	Professional		$1,740.17	$2,094.30	$4,038.81
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 $1,842.82 / $2,910.81 / $4,901.89	Professional		$1,842.82	$2,910.81	$4,901.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,863.09 / $2,863.09 / $2,863.09	Facility		$2,863.09	$2,863.09	$2,863.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,718.42 / $1,718.42 / $1,718.42	Professional		$1,718.42	$1,718.42	$1,718.42
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 $1,801.36 / $2,997.43 / $4,670.51	Professional		$1,801.36	$2,997.43	$4,670.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,824.42 / $2,371.75 / $4,271.17	Professional		$1,824.42	$2,371.75	$4,271.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $3,464.20 / $4,680.70	Professional		$7.00	$3,464.20	$4,680.70
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 $1,809.00 / $2,589.98 / $4,401.00	Professional		$1,809.00	$2,589.98	$4,401.00