Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,186.84 / $5,045.00 / $6,915.00	Facility		$2,186.84	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,015.83 / $2,445.92 / $4,317.81	Professional		$2,015.83	$2,445.92	$4,317.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $790.00 / $4,803.35 / $17,272.82	Facility		$790.00	$4,803.35	$17,272.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,145.69 / $3,296.68 / $5,491.34	Professional		$2,145.69	$3,296.68	$5,491.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,275.96 / $3,275.96 / $3,275.96	Facility		$3,275.96	$3,275.96	$3,275.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,953.90 / $1,953.90 / $1,953.90	Professional		$1,953.90	$1,953.90	$1,953.90
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 $1,942.74 / $3,161.68 / $5,345.33	Professional		$1,942.74	$3,161.68	$5,345.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,115.87 / $2,750.63 / $4,953.49	Professional		$2,115.87	$2,750.63	$4,953.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $4,023.50 / $5,635.60	Professional		$7.00	$4,023.50	$5,635.60
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 $2,060.69 / $2,878.85 / $4,790.28	Professional		$2,060.69	$2,878.85	$4,790.28