Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,542.56 / $5,045.00 / $6,915.00	Facility		$1,542.56	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,373.92 / $1,704.76 / $3,097.67	Professional		$1,373.92	$1,704.76	$3,097.67
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 $1,498.94 / $2,268.67 / $3,895.62	Professional		$1,498.94	$2,268.67	$3,895.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,127.52 / $2,127.52 / $2,127.52	Facility		$2,127.52	$2,127.52	$2,127.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,430.25 / $1,430.25 / $1,430.25	Professional		$1,430.25	$1,430.25	$1,430.25
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 $1,402.09 / $2,253.98 / $3,647.52	Professional		$1,402.09	$2,253.98	$3,647.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,522.85 / $1,979.71 / $3,484.36	Professional		$1,522.85	$1,979.71	$3,484.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $2,612.60 / $3,904.40	Professional		$6.00	$2,612.60	$3,904.40
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 $1,398.05 / $1,943.20 / $3,350.39	Professional		$1,398.05	$1,943.20	$3,350.39