Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,347.00 / $5,045.00 / $6,915.00	Facility		$1,347.00	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,235.93 / $1,495.21 / $2,725.40	Professional		$1,235.93	$1,495.21	$2,725.40
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 $1,346.60 / $2,027.68 / $3,420.35	Professional		$1,346.60	$2,027.68	$3,420.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,899.57 / $1,899.57 / $1,899.57	Facility		$1,899.57	$1,899.57	$1,899.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,260.47 / $1,260.47 / $1,260.47	Professional		$1,260.47	$1,260.47	$1,260.47
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 $1,228.20 / $2,050.44 / $3,202.58	Professional		$1,228.20	$2,050.44	$3,202.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,337.08 / $1,738.20 / $3,073.49	Professional		$1,337.08	$1,738.20	$3,073.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $2,372.80 / $3,393.20	Professional		$8.00	$2,372.80	$3,393.20
United Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $2,901.00 / $8,133.00	Facility		$450.00	$2,901.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,241.22 / $1,722.41 / $2,955.28	Professional		$1,241.22	$1,722.41	$2,955.28