Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,592.00 / $5,175.00 / $9,488.00	Facility		$4,592.00	$5,175.00	$9,488.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,489.31 / $5,505.89 / $10,297.50	Professional		$4,489.31	$5,505.89	$10,297.50
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 $3,881.69 / $6,942.98 / $12,539.03	Professional		$3,881.69	$6,942.98	$12,539.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,754.23 / $6,754.23 / $6,754.23	Facility		$6,754.23	$6,754.23	$6,754.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,605.32 / $4,605.32 / $4,605.32	Professional		$4,605.32	$4,605.32	$4,605.32
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 $3,582.15 / $7,578.88 / $11,560.83	Professional		$3,582.15	$7,578.88	$11,560.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,826.66 / $5,802.20 / $11,299.77	Professional		$4,826.66	$5,802.20	$11,299.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $8,929.32 / $12,126.50	Professional		$15.00	$8,929.32	$12,126.50
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 $4,303.39 / $6,384.36 / $11,366.00	Professional		$4,303.39	$6,384.36	$11,366.00