Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,278.41 / $5,045.00 / $6,915.00	Facility		$1,278.41	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,166.68 / $1,409.55 / $2,569.15	Professional		$1,166.68	$1,409.55	$2,569.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $610.00 / $2,700.00 / $6,065.87	Facility		$610.00	$2,700.00	$6,065.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,269.20 / $1,808.77 / $3,211.31	Professional		$1,269.20	$1,808.77	$3,211.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,735.03 / $1,735.03 / $1,735.03	Facility		$1,735.03	$1,735.03	$1,735.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,204.42 / $1,204.42 / $1,204.42	Professional		$1,204.42	$1,204.42	$1,204.42
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 $1,110.80 / $1,895.70 / $2,971.08	Professional		$1,110.80	$1,895.70	$2,971.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,287.08 / $1,601.78 / $2,445.46	Professional		$1,287.08	$1,601.78	$2,445.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $2,278.10 / $3,262.70	Professional		$8.00	$2,278.10	$3,262.70
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 $1,165.81 / $1,606.07 / $2,939.01	Professional		$1,165.81	$1,606.07	$2,939.01