Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,596.26 / $5,045.00 / $6,915.00	Facility		$1,596.26	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,461.47 / $1,772.13 / $3,237.97	Professional		$1,461.47	$1,772.13	$3,237.97
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 $1,599.05 / $2,443.05 / $4,253.47	Professional		$1,599.05	$2,443.05	$4,253.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,286.00 / $2,286.00 / $2,286.00	Facility		$2,286.00	$2,286.00	$2,286.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,496.75 / $1,496.75 / $1,496.75	Professional		$1,496.75	$1,496.75	$1,496.75
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 $1,478.85 / $2,476.84 / $3,802.91	Professional		$1,478.85	$2,476.84	$3,802.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,587.72 / $2,064.04 / $4,049.56	Professional		$1,587.72	$2,064.04	$4,049.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,793.50 / $4,028.10	Professional		$7.00	$2,793.50	$4,028.10
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 $1,511.97 / $2,157.77 / $3,838.63	Professional		$1,511.97	$2,157.77	$3,838.63