Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,274.73 / $5,045.00 / $6,915.00	Facility		$1,274.73	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,135.95 / $1,410.98 / $2,568.23	Professional		$1,135.95	$1,410.98	$2,568.23
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 $1,243.10 / $1,906.57 / $3,233.89	Professional		$1,243.10	$1,906.57	$3,233.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,743.37 / $1,743.37 / $1,743.37	Facility		$1,743.37	$1,743.37	$1,743.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,190.16 / $1,190.16 / $1,190.16	Professional		$1,190.16	$1,190.16	$1,190.16
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 $1,165.82 / $1,858.39 / $3,031.98	Professional		$1,165.82	$1,858.39	$3,031.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,265.84 / $1,645.61 / $2,888.99	Professional		$1,265.84	$1,645.61	$2,888.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,940.40 / $3,228.40	Professional		$6.00	$1,940.40	$3,228.40
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 $1,165.63 / $1,611.17 / $2,774.56	Professional		$1,165.63	$1,611.17	$2,774.56