Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,279.29 / $5,045.00 / $6,915.00	Facility		$1,279.29	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,193.72 / $1,415.96 / $2,720.14	Professional		$1,193.72	$1,415.96	$2,720.14
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 $1,276.96 / $1,971.19 / $3,315.45	Professional		$1,276.96	$1,971.19	$3,315.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,937.39 / $1,937.39 / $1,937.39	Facility		$1,937.39	$1,937.39	$1,937.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,189.50 / $1,189.50 / $1,189.50	Professional		$1,189.50	$1,189.50	$1,189.50
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 $1,245.54 / $2,050.87 / $3,034.26	Professional		$1,245.54	$2,050.87	$3,034.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,266.81 / $1,646.85 / $3,515.63	Professional		$1,266.81	$1,646.85	$3,515.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,408.60 / $3,237.00	Professional		$7.00	$2,408.60	$3,237.00
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 $1,241.44 / $1,754.21 / $3,411.96	Professional		$1,241.44	$1,754.21	$3,411.96