Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,357.03 / $5,045.00 / $6,915.00	Facility		$1,357.03	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,260.29 / $1,505.31 / $2,777.50	Professional		$1,260.29	$1,505.31	$2,777.50
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 $1,378.50 / $2,106.39 / $3,502.07	Professional		$1,378.50	$2,106.39	$3,502.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,975.39 / $1,975.39 / $1,975.39	Facility		$1,975.39	$1,975.39	$1,975.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,288.31 / $1,288.31 / $1,288.31	Professional		$1,288.31	$1,288.31	$1,288.31
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 $1,281.59 / $2,102.06 / $3,276.72	Professional		$1,281.59	$2,102.06	$3,276.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,368.04 / $1,778.45 / $3,173.48	Professional		$1,368.04	$1,778.45	$3,173.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,416.69 / $3,440.60	Professional		$7.00	$2,416.69	$3,440.60
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 $1,290.60 / $1,769.83 / $3,141.61	Professional		$1,290.60	$1,769.83	$3,141.61