Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,711.46 / $5,917.00 / $10,572.00	Facility		$3,711.46	$5,917.00	$10,572.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,416.70 / $4,145.31 / $7,592.37	Professional		$3,416.70	$4,145.31	$7,592.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $3,640.00 / $9,156.52	Facility		$814.00	$3,640.00	$9,156.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,695.31 / $6,339.35 / $9,788.54	Professional		$3,695.31	$6,339.35	$9,788.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,518.70 / $6,518.70 / $6,518.70	Facility		$6,518.70	$6,518.70	$6,518.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,473.11 / $3,473.11 / $3,473.11	Professional		$3,473.11	$3,473.11	$3,473.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $703.00 / $9,829.00	Facility		$400.00	$703.00	$9,829.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,580.56 / $5,917.88 / $8,766.20	Professional		$3,580.56	$5,917.88	$8,766.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,659.90 / $4,757.87 / $18,748.00	Professional		$3,659.90	$4,757.87	$18,748.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $5,929.67 / $9,220.90	Professional		$15.00	$5,929.67	$9,220.90
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 $3,690.79 / $5,545.46 / $8,781.03	Professional		$3,690.79	$5,545.46	$8,781.03