Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,522.19 / $5,045.00 / $6,915.00	Facility		$2,522.19	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,336.55 / $2,811.34 / $5,180.60	Professional		$2,336.55	$2,811.34	$5,180.60
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 $2,546.23 / $3,860.48 / $6,730.33	Professional		$2,546.23	$3,860.48	$6,730.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,881.01 / $3,881.01 / $3,881.01	Facility		$3,881.01	$3,881.01	$3,881.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,395.14 / $2,395.14 / $2,395.14	Professional		$2,395.14	$2,395.14	$2,395.14
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 $2,377.32 / $3,949.42 / $6,702.65	Professional		$2,377.32	$3,949.42	$6,702.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,531.67 / $3,291.18 / $6,170.29	Professional		$2,531.67	$3,291.18	$6,170.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $4,485.39 / $6,334.50	Professional		$15.00	$4,485.39	$6,334.50
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 $2,418.98 / $3,441.13 / $5,692.58	Professional		$2,418.98	$3,441.13	$5,692.58