Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.08 / $5,045.00 / $6,915.00	Facility		$1,159.08	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,055.57 / $1,281.98 / $2,337.50	Professional		$1,055.57	$1,281.98	$2,337.50
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 $1,147.03 / $1,755.79 / $2,935.62	Professional		$1,147.03	$1,755.79	$2,935.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,627.36 / $1,627.36 / $1,627.36	Facility		$1,627.36	$1,627.36	$1,627.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,077.89 / $1,077.89 / $1,077.89	Professional		$1,077.89	$1,077.89	$1,077.89
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 $1,071.35 / $1,761.83 / $2,747.38	Professional		$1,071.35	$1,761.83	$2,747.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,147.03 / $1,491.14 / $2,636.71	Professional		$1,147.03	$1,491.14	$2,636.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,046.60 / $2,931.50	Professional		$7.00	$2,046.60	$2,931.50
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 $1,076.88 / $1,470.47 / $2,535.30	Professional		$1,076.88	$1,470.47	$2,535.30