Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.00 / $5,063.00 / $9,512.00	Facility		$1,791.00	$5,063.00	$9,512.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,469.26 / $1,829.16 / $2,647.15	Professional		$1,469.26	$1,829.16	$2,647.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,299.00 / $3,581.33 / $6,271.28	Facility		$1,299.00	$3,581.33	$6,271.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,307.19 / $1,968.51 / $3,670.62	Professional		$1,307.19	$1,968.51	$3,670.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,508.09 / $3,059.48 / $74,999.25	Facility		$2,508.09	$3,059.48	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.00 / $1,732.09 / $2,181.15	Facility		$1,230.00	$1,732.09	$2,181.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,361.32 / $1,977.00 / $3,912.08	Professional		$1,361.32	$1,977.00	$3,912.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,597.68 / $2,323.90 / $11,775.02	Professional		$1,597.68	$2,323.90	$11,775.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,040.78 / $2,177.71 / $2,311.34	Professional		$2,040.78	$2,177.71	$2,311.34
United Facility/Professional Facility Modifier Low / Median / High Price $990.00 / $6,000.00 / $8,554.00	Facility		$990.00	$6,000.00	$8,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,347.66 / $1,796.88 / $3,461.91	Professional		$1,347.66	$1,796.88	$3,461.91