Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,739.29 / $5,045.00 / $6,915.00	Facility		$1,739.29	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,581.57 / $1,930.70 / $3,518.58	Professional		$1,581.57	$1,930.70	$3,518.58
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 $1,733.55 / $2,662.18 / $4,738.93	Professional		$1,733.55	$2,662.18	$4,738.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,539.79 / $2,539.79 / $2,539.79	Facility		$2,539.79	$2,539.79	$2,539.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,620.25 / $1,620.25 / $1,620.25	Professional		$1,620.25	$1,620.25	$1,620.25
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 $1,675.14 / $2,642.66 / $4,114.64	Professional		$1,675.14	$2,642.66	$4,114.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,717.87 / $2,233.23 / $4,021.73	Professional		$1,717.87	$2,233.23	$4,021.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $3,055.60 / $4,379.89	Professional		$7.00	$3,055.60	$4,379.89
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 $1,645.55 / $2,340.66 / $4,033.20	Professional		$1,645.55	$2,340.66	$4,033.20