Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,271.69 / $5,045.00 / $6,915.00	Facility		$1,271.69	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,097.71 / $1,407.57 / $2,561.90	Professional		$1,097.71	$1,407.57	$2,561.90
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 $1,251.56 / $1,874.33 / $3,225.37	Professional		$1,251.56	$1,874.33	$3,225.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,747.76 / $1,747.76 / $1,747.76	Facility		$1,747.76	$1,747.76	$1,747.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,187.34 / $1,187.34 / $1,187.34	Professional		$1,187.34	$1,187.34	$1,187.34
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 $1,169.33 / $1,928.66 / $3,024.91	Professional		$1,169.33	$1,928.66	$3,024.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,262.90 / $1,641.77 / $2,913.82	Professional		$1,262.90	$1,641.77	$2,913.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $2,105.90 / $3,220.20	Professional		$6.00	$2,105.90	$3,220.20
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 $1,160.15 / $1,625.02 / $2,789.71	Professional		$1,160.15	$1,625.02	$2,789.71