Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,789.96 / $5,045.00 / $6,915.00	Facility		$1,789.96	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,644.26 / $1,991.68 / $3,629.69	Professional		$1,644.26	$1,991.68	$3,629.69
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 $1,788.31 / $2,739.73 / $4,548.75	Professional		$1,788.31	$2,739.73	$4,548.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,579.64 / $2,579.64 / $2,579.64	Facility		$2,579.64	$2,579.64	$2,579.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,677.30 / $1,677.30 / $1,677.30	Professional		$1,677.30	$1,677.30	$1,677.30
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 $1,664.57 / $2,762.47 / $4,251.39	Professional		$1,664.57	$2,762.47	$4,251.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,774.96 / $2,307.44 / $4,147.70	Professional		$1,774.96	$2,307.44	$4,147.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $3,145.90 / $4,496.50	Professional		$7.00	$3,145.90	$4,496.50
United Facility/Professional Facility Modifier Low / Median / High Price $485.00 / $2,907.00 / $8,133.00	Facility		$485.00	$2,907.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,698.78 / $2,338.73 / $3,952.84	Professional		$1,698.78	$2,338.73	$3,952.84