Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,981.92 / $5,045.00 / $6,915.00	Facility		$1,981.92	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,764.92 / $2,187.94 / $3,973.05	Professional		$1,764.92	$2,187.94	$3,973.05
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 $1,925.88 / $2,880.79 / $5,050.60	Professional		$1,925.88	$2,880.79	$5,050.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,599.33 / $2,599.33 / $2,599.33	Facility		$2,599.33	$2,599.33	$2,599.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,854.37 / $1,854.37 / $1,854.37	Professional		$1,854.37	$1,854.37	$1,854.37
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 $1,734.36 / $2,818.52 / $4,592.84	Professional		$1,734.36	$2,818.52	$4,592.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,978.09 / $2,571.52 / $4,419.38	Professional		$1,978.09	$2,571.52	$4,419.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $3,224.99 / $5,042.00	Professional		$7.00	$3,224.99	$5,042.00
United Facility/Professional Facility Modifier Low / Median / High Price $485.00 / $2,907.00 / $8,133.00	Facility		$485.00	$2,907.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,781.33 / $2,486.34 / $4,281.38	Professional		$1,781.33	$2,486.34	$4,281.38