Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,126.70 / $4,592.00 / $6,915.00	Facility		$1,126.70	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,036.83 / $1,267.28 / $2,410.46	Professional		$1,036.83	$1,267.28	$2,410.46
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 $1,162.14 / $1,697.24 / $2,967.00	Professional		$1,162.14	$1,697.24	$2,967.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,573.58 / $1,573.58 / $1,573.58	Facility		$1,573.58	$1,573.58	$1,573.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,089.34 / $1,089.34 / $1,089.34	Professional		$1,089.34	$1,089.34	$1,089.34
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 $1,024.55 / $1,710.37 / $2,783.56	Professional		$1,024.55	$1,710.37	$2,783.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,162.14 / $1,510.78 / $2,597.66	Professional		$1,162.14	$1,510.78	$2,597.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,990.20 / $2,885.00	Professional		$5.00	$1,990.20	$2,885.00
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 $1,055.63 / $1,455.30 / $2,809.71	Professional		$1,055.63	$1,455.30	$2,809.71