Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,153.80 / $5,045.00 / $6,915.00	Facility		$1,153.80	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,052.48 / $1,275.52 / $2,326.57	Professional		$1,052.48	$1,275.52	$2,326.57
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 $1,141.08 / $1,718.86 / $2,921.04	Professional		$1,141.08	$1,718.86	$2,921.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,610.26 / $1,610.26 / $1,610.26	Facility		$1,610.26	$1,610.26	$1,610.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,071.97 / $1,071.97 / $1,071.97	Professional		$1,071.97	$1,071.97	$1,071.97
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 $1,053.68 / $1,746.05 / $2,733.12	Professional		$1,053.68	$1,746.05	$2,733.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,141.08 / $1,483.40 / $2,621.97	Professional		$1,141.08	$1,483.40	$2,621.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,046.10 / $2,920.00	Professional		$7.00	$2,046.10	$2,920.00
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 $1,054.33 / $1,477.86 / $2,521.13	Professional		$1,054.33	$1,477.86	$2,521.13