Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,332.95 / $5,045.00 / $6,915.00	Facility		$1,332.95	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,188.16 / $1,476.84 / $2,693.12	Professional		$1,188.16	$1,476.84	$2,693.12
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 $1,330.46 / $2,024.07 / $3,379.36	Professional		$1,330.46	$2,024.07	$3,379.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,892.26 / $1,892.26 / $1,892.26	Facility		$1,892.26	$1,892.26	$1,892.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,242.76 / $1,242.76 / $1,242.76	Professional		$1,242.76	$1,242.76	$1,242.76
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 $1,232.67 / $2,028.80 / $3,162.18	Professional		$1,232.67	$2,028.80	$3,162.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,320.21 / $1,716.27 / $3,052.01	Professional		$1,320.21	$1,716.27	$3,052.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,353.90 / $3,365.30	Professional		$7.00	$2,353.90	$3,365.30
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 $1,260.73 / $1,713.19 / $2,910.11	Professional		$1,260.73	$1,713.19	$2,910.11