Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,132.43 / $5,045.00 / $6,915.00	Facility		$1,132.43	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,040.47 / $1,258.63 / $2,300.30	Professional		$1,040.47	$1,258.63	$2,300.30
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 $1,136.03 / $1,739.34 / $3,092.67	Professional		$1,136.03	$1,739.34	$3,092.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,684.48 / $1,684.48 / $1,684.48	Facility		$1,684.48	$1,684.48	$1,684.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,065.58 / $1,065.58 / $1,065.58	Professional		$1,065.58	$1,065.58	$1,065.58
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 $1,076.54 / $1,732.31 / $2,704.66	Professional		$1,076.54	$1,732.31	$2,704.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,129.20 / $1,467.96 / $2,643.58	Professional		$1,129.20	$1,467.96	$2,643.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,144.63 / $1,693.80 / $2,273.60	Professional		$1,144.63	$1,693.80	$2,273.60
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 $1,076.54 / $1,501.19 / $2,617.05	Professional		$1,076.54	$1,501.19	$2,617.05