Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,271.91 / $5,045.00 / $6,915.00	Facility		$1,271.91	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,161.95 / $1,408.96 / $2,570.34	Professional		$1,161.95	$1,408.96	$2,570.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $725.00 / $3,585.69 / $10,304.31	Facility		$725.00	$3,585.69	$10,304.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,268.80 / $1,945.00 / $3,222.76	Professional		$1,268.80	$1,945.00	$3,222.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,819.02 / $1,819.02 / $1,819.02	Facility		$1,819.02	$1,819.02	$1,819.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,184.96 / $1,184.96 / $1,184.96	Professional		$1,184.96	$1,184.96	$1,184.96
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 $1,190.45 / $1,964.79 / $3,015.52	Professional		$1,190.45	$1,964.79	$3,015.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.98 / $1,636.67 / $2,947.43	Professional		$1,258.98	$1,636.67	$2,947.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,244.10 / $3,212.80	Professional		$7.00	$2,244.10	$3,212.80
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 $1,204.06 / $1,739.19 / $2,946.46	Professional		$1,204.06	$1,739.19	$2,946.46