Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,754.76 / $5,063.00 / $7,280.77	Facility		$3,754.76	$5,063.00	$7,280.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,464.70 / $4,204.46 / $7,787.08	Professional		$3,464.70	$4,204.46	$7,787.08
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 $3,109.13 / $5,246.63 / $9,514.71	Professional		$3,109.13	$5,246.63	$9,514.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,167.26 / $5,167.26 / $5,167.26	Facility		$5,167.26	$5,167.26	$5,167.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,527.71 / $3,527.71 / $3,527.71	Professional		$3,527.71	$3,527.71	$3,527.71
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 $2,794.14 / $5,796.77 / $8,882.84	Professional		$2,794.14	$5,796.77	$8,882.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,708.60 / $4,565.08 / $8,682.25	Professional		$3,708.60	$4,565.08	$8,682.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $6,681.20 / $9,326.29	Professional		$15.00	$6,681.20	$9,326.29
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 $3,315.50 / $4,973.91 / $8,279.04	Professional		$3,315.50	$4,973.91	$8,279.04