Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,104.80 / $5,045.00 / $6,915.00	Facility		$1,104.80	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,009.66 / $1,291.97 / $2,353.21	Professional		$1,009.66	$1,291.97	$2,353.21
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 $1,114.06 / $1,690.41 / $2,829.72	Professional		$1,114.06	$1,690.41	$2,829.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,595.75 / $1,595.75 / $1,595.75	Facility		$1,595.75	$1,595.75	$1,595.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,042.56 / $1,042.56 / $1,042.56	Professional		$1,042.56	$1,042.56	$1,042.56
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 $1,038.38 / $1,714.85 / $2,648.72	Professional		$1,038.38	$1,714.85	$2,648.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,105.83 / $1,437.59 / $2,571.21	Professional		$1,105.83	$1,437.59	$2,571.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $1,956.80 / $2,775.20	Professional		$8.00	$1,956.80	$2,775.20
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 $1,043.86 / $1,458.83 / $2,563.96	Professional		$1,043.86	$1,458.83	$2,563.96