Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,576.35 / $5,063.00 / $7,264.63	Facility		$3,576.35	$5,063.00	$7,264.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,297.19 / $4,011.80 / $7,464.72	Professional		$3,297.19	$4,011.80	$7,464.72
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 $3,132.01 / $5,110.03 / $9,153.74	Professional		$3,132.01	$5,110.03	$9,153.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,067.31 / $5,067.31 / $5,067.31	Facility		$5,067.31	$5,067.31	$5,067.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,358.82 / $3,358.82 / $3,358.82	Professional		$3,358.82	$3,358.82	$3,358.82
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 $2,835.26 / $5,544.05 / $9,333.67	Professional		$2,835.26	$5,544.05	$9,333.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,524.16 / $4,581.41 / $8,589.95	Professional		$3,524.16	$4,581.41	$8,589.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $6,519.70 / $8,860.20	Professional		$15.00	$6,519.70	$8,860.20
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 $3,113.46 / $4,790.55 / $8,469.54	Professional		$3,113.46	$4,790.55	$8,469.54