Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,879.65 / $5,045.00 / $6,915.00	Facility		$1,879.65	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,726.26 / $2,091.69 / $3,813.85	Professional		$1,726.26	$2,091.69	$3,813.85
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 $1,863.56 / $2,766.85 / $4,780.72	Professional		$1,863.56	$2,766.85	$4,780.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,727.09 / $2,727.09 / $2,727.09	Facility		$2,727.09	$2,727.09	$2,727.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,761.27 / $1,761.27 / $1,761.27	Professional		$1,761.27	$1,761.27	$1,761.27
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 $1,564.18 / $2,865.52 / $4,463.60	Professional		$1,564.18	$2,865.52	$4,463.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,863.56 / $2,414.21 / $4,362.79	Professional		$1,863.56	$2,414.21	$4,362.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $3,249.60 / $4,723.50	Professional		$7.00	$3,249.60	$4,723.50
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $2,880.00 / $9,079.00	Facility		$400.00	$2,880.00	$9,079.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,785.40 / $2,450.57 / $4,225.13	Professional		$1,785.40	$2,450.57	$4,225.13