Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,101.54 / $5,045.00 / $6,915.00	Facility		$1,101.54	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,002.92 / $1,216.97 / $2,217.44	Professional		$1,002.92	$1,216.97	$2,217.44
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 $1,097.27 / $1,676.31 / $2,787.06	Professional		$1,097.27	$1,676.31	$2,787.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,538.25 / $1,538.25 / $1,538.25	Facility		$1,538.25	$1,538.25	$1,538.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,022.71 / $1,022.71 / $1,022.71	Professional		$1,022.71	$1,022.71	$1,022.71
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 $1,004.02 / $1,685.28 / $2,609.19	Professional		$1,004.02	$1,685.28	$2,609.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,089.33 / $1,416.14 / $2,488.85	Professional		$1,089.33	$1,416.14	$2,488.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,922.00 / $2,787.00	Professional		$7.00	$1,922.00	$2,787.00
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 $1,028.48 / $1,409.10 / $2,425.96	Professional		$1,028.48	$1,409.10	$2,425.96