Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,888.13 / $5,045.00 / $6,915.00	Facility		$1,888.13	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,723.02 / $2,125.19 / $3,959.10	Professional		$1,723.02	$2,125.19	$3,959.10
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 $1,880.32 / $2,863.20 / $4,776.03	Professional		$1,880.32	$2,863.20	$4,776.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,680.96 / $2,680.96 / $2,680.96	Facility		$2,680.96	$2,680.96	$2,680.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,755.63 / $1,755.63 / $1,755.63	Professional		$1,755.63	$1,755.63	$1,755.63
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 $1,747.46 / $2,872.24 / $4,465.24	Professional		$1,747.46	$2,872.24	$4,465.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,864.24 / $2,423.51 / $4,314.60	Professional		$1,864.24	$2,423.51	$4,314.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $3,275.30 / $4,764.50	Professional		$8.00	$3,275.30	$4,764.50
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 $1,742.43 / $2,406.21 / $4,168.35	Professional		$1,742.43	$2,406.21	$4,168.35