Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,308.33 / $5,045.00 / $6,915.00	Facility		$1,308.33	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,201.53 / $1,454.27 / $2,649.85	Professional		$1,201.53	$1,454.27	$2,649.85
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 $1,306.10 / $2,002.55 / $3,365.66	Professional		$1,306.10	$2,002.55	$3,365.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,900.03 / $1,900.03 / $1,900.03	Facility		$1,900.03	$1,900.03	$1,900.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,224.39 / $1,224.39 / $1,224.39	Professional		$1,224.39	$1,224.39	$1,224.39
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 $1,227.42 / $2,011.58 / $3,106.22	Professional		$1,227.42	$2,011.58	$3,106.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,296.84 / $1,685.91 / $3,036.07	Professional		$1,296.84	$1,685.91	$3,036.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,304.80 / $3,289.60	Professional		$7.00	$2,304.80	$3,289.60
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 $1,240.66 / $1,734.21 / $3,120.48	Professional		$1,240.66	$1,734.21	$3,120.48