Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,062.49 / $5,045.00 / $6,915.00	Facility		$1,062.49	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $961.05 / $1,173.30 / $2,132.98	Professional		$961.05	$1,173.30	$2,132.98
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 $1,058.97 / $1,606.38 / $2,821.21	Professional		$1,058.97	$1,606.38	$2,821.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,508.87 / $1,508.87 / $1,508.87	Facility		$1,508.87	$1,508.87	$1,508.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $986.87 / $986.87 / $986.87	Professional		$986.87	$986.87	$986.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $1,204.00	Facility		$200.00	$617.00	$1,204.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $984.42 / $1,617.30 / $2,519.04	Professional		$984.42	$1,617.30	$2,519.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,051.70 / $1,367.21 / $2,437.60	Professional		$1,051.70	$1,367.21	$2,437.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,872.00 / $2,697.10	Professional		$7.00	$1,872.00	$2,697.10
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 $999.54 / $1,412.60 / $2,542.69	Professional		$999.54	$1,412.60	$2,542.69