Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,385.46 / $5,063.00 / $8,910.83	Facility		$4,385.46	$5,063.00	$8,910.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,041.50 / $4,923.08 / $9,182.35	Professional		$4,041.50	$4,923.08	$9,182.35
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 $3,622.56 / $6,177.94 / $11,216.86	Professional		$3,622.56	$6,177.94	$11,216.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,072.03 / $6,072.03 / $6,072.03	Facility		$6,072.03	$6,072.03	$6,072.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,118.82 / $4,118.82 / $4,118.82	Professional		$4,118.82	$4,118.82	$4,118.82
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 $3,267.38 / $6,757.37 / $11,320.20	Professional		$3,267.38	$6,757.37	$11,320.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,318.29 / $5,505.90 / $10,418.20	Professional		$4,318.29	$5,505.90	$10,418.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $7,988.84 / $10,851.00	Professional		$15.00	$7,988.84	$10,851.00
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 $3,883.92 / $5,810.15 / $10,017.50	Professional		$3,883.92	$5,810.15	$10,017.50