Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.22 / $5,045.00 / $6,915.00	Facility		$1,615.22	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,005.16 / $1,230.22 / $2,235.56	Professional		$1,005.16	$1,230.22	$2,235.56
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 $1,110.28 / $1,706.45 / $2,953.34	Professional		$1,110.28	$1,706.45	$2,953.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,525.43 / $1,525.43 / $1,525.43	Facility		$1,525.43	$1,525.43	$1,525.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,035.77 / $1,035.77 / $1,035.77	Professional		$1,035.77	$1,035.77	$1,035.77
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 $1,029.22 / $1,693.61 / $2,621.00	Professional		$1,029.22	$1,693.61	$2,621.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,104.73 / $1,436.15 / $2,925.79	Professional		$1,104.73	$1,436.15	$2,925.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $2,043.75 / $2,827.00	Professional		$5.00	$2,043.75	$2,827.00
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 $1,042.47 / $1,400.14 / $2,421.02	Professional		$1,042.47	$1,400.14	$2,421.02