Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,661.85 / $5,045.00 / $6,915.00	Facility		$1,661.85	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,510.09 / $1,838.48 / $3,346.75	Professional		$1,510.09	$1,838.48	$3,346.75
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 $1,648.54 / $2,498.32 / $4,200.06	Professional		$1,648.54	$2,498.32	$4,200.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,334.64 / $2,334.64 / $2,334.64	Facility		$2,334.64	$2,334.64	$2,334.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,543.85 / $1,543.85 / $1,543.85	Professional		$1,543.85	$1,543.85	$1,543.85
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 $1,529.45 / $2,521.50 / $3,953.40	Professional		$1,529.45	$2,521.50	$3,953.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,642.22 / $2,134.89 / $3,767.76	Professional		$1,642.22	$2,134.89	$3,767.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $2,920.30 / $4,202.00	Professional		$6.00	$2,920.30	$4,202.00
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 $1,556.93 / $2,089.30 / $3,617.01	Professional		$1,556.93	$2,089.30	$3,617.01