Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,819.21 / $5,063.00 / $6,915.00	Facility		$2,819.21	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,601.65 / $3,154.34 / $5,839.38	Professional		$2,601.65	$3,154.34	$5,839.38
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 $2,622.94 / $4,035.42 / $7,149.32	Professional		$2,622.94	$4,035.42	$7,149.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,089.44 / $4,089.44 / $4,089.44	Facility		$4,089.44	$4,089.44	$4,089.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,648.42 / $2,648.42 / $2,648.42	Professional		$2,648.42	$2,648.42	$2,648.42
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 $2,340.64 / $4,375.00 / $6,917.96	Professional		$2,340.64	$4,375.00	$6,917.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,786.56 / $3,622.53 / $6,523.64	Professional		$2,786.56	$3,622.53	$6,523.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $5,020.50 / $7,009.00	Professional		$15.00	$5,020.50	$7,009.00
United Facility/Professional Facility Modifier Low / Median / High Price $485.00 / $2,907.00 / $8,133.00	Facility		$485.00	$2,907.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,614.91 / $3,792.84 / $6,574.75	Professional		$2,614.91	$3,792.84	$6,574.75