Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,742.13 / $5,045.00 / $6,915.00	Facility		$1,742.13	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,583.48 / $1,935.58 / $3,534.19	Professional		$1,583.48	$1,935.58	$3,534.19
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 $1,745.39 / $2,666.52 / $4,642.75	Professional		$1,745.39	$2,666.52	$4,642.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,518.89 / $2,518.89 / $2,518.89	Facility		$2,518.89	$2,518.89	$2,518.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,633.24 / $1,633.24 / $1,633.24	Professional		$1,633.24	$1,633.24	$1,633.24
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 $1,618.44 / $2,689.75 / $4,146.34	Professional		$1,618.44	$2,689.75	$4,146.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,731.10 / $2,250.42 / $4,007.56	Professional		$1,731.10	$2,250.42	$4,007.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $3,038.40 / $4,392.60	Professional		$7.00	$3,038.40	$4,392.60
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 $1,650.09 / $2,241.01 / $3,919.98	Professional		$1,650.09	$2,241.01	$3,919.98