Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,369.83 / $5,045.00 / $6,915.00	Facility		$1,369.83	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,254.06 / $1,518.80 / $2,767.64	Professional		$1,254.06	$1,518.80	$2,767.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.95 / $3,801.18 / $10,304.31	Facility		$659.95	$3,801.18	$10,304.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,354.22 / $2,094.80 / $3,469.52	Professional		$1,354.22	$2,094.80	$3,469.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,962.45 / $1,962.45 / $1,962.45	Facility		$1,962.45	$1,962.45	$1,962.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,275.64 / $1,275.64 / $1,275.64	Professional		$1,275.64	$1,275.64	$1,275.64
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 $1,273.33 / $2,102.55 / $3,243.64	Professional		$1,273.33	$2,102.55	$3,243.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,354.22 / $1,760.49 / $3,154.06	Professional		$1,354.22	$1,760.49	$3,154.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,415.00 / $3,453.70	Professional		$7.00	$2,415.00	$3,453.70
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 $1,294.81 / $1,830.74 / $3,174.41	Professional		$1,294.81	$1,830.74	$3,174.41