Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,441.25 / $5,063.00 / $9,027.54	Facility		$4,441.25	$5,063.00	$9,027.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,096.71 / $4,981.12 / $9,287.53	Professional		$4,096.71	$4,981.12	$9,287.53
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 $3,673.19 / $6,253.02 / $11,373.63	Professional		$3,673.19	$6,253.02	$11,373.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,089.69 / $6,089.69 / $6,089.69	Facility		$6,089.69	$6,089.69	$6,089.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,174.01 / $4,174.01 / $4,174.01	Professional		$4,174.01	$4,174.01	$4,174.01
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 $3,309.19 / $6,834.00 / $11,381.66	Professional		$3,309.19	$6,834.00	$11,381.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,380.77 / $5,560.35 / $10,474.75	Professional		$4,380.77	$5,560.35	$10,474.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $7,794.10 / $11,005.50	Professional		$15.00	$7,794.10	$11,005.50
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 $3,894.45 / $5,829.47 / $11,108.41	Professional		$3,894.45	$5,829.47	$11,108.41