Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,947.94 / $6,014.00 / $9,023.00	Facility		$1,947.94	$6,014.00	$9,023.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,167.99 / $1,430.09 / $2,715.32	Professional		$1,167.99	$1,430.09	$2,715.32
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 $1,272.58 / $1,951.21 / $3,235.14	Professional		$1,272.58	$1,951.21	$3,235.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,838.71 / $1,838.71 / $1,838.71	Facility		$1,838.71	$1,838.71	$1,838.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,191.04 / $1,191.04 / $1,191.04	Professional		$1,191.04	$1,191.04	$1,191.04
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 $1,193.49 / $1,974.38 / $3,023.59	Professional		$1,193.49	$1,974.38	$3,023.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,262.34 / $1,641.06 / $3,326.80	Professional		$1,262.34	$1,641.06	$3,326.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,267.91 / $1,879.91 / $2,520.01	Professional		$1,267.91	$1,879.91	$2,520.01
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 $1,208.21 / $1,678.31 / $2,851.73	Professional		$1,208.21	$1,678.31	$2,851.73