Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,698.74 / $5,045.00 / $6,915.00	Facility		$2,698.74	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,564.04 / $3,033.63 / $5,581.13	Professional		$2,564.04	$3,033.63	$5,581.13
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 $2,892.10 / $4,378.92 / $7,395.03	Professional		$2,892.10	$4,378.92	$7,395.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,212.45 / $4,212.45 / $4,212.45	Facility		$4,212.45	$4,212.45	$4,212.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,714.64 / $2,714.64 / $2,714.64	Professional		$2,714.64	$2,714.64	$2,714.64
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 $2,559.58 / $4,339.79 / $6,889.95	Professional		$2,559.58	$4,339.79	$6,889.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,876.56 / $3,739.53 / $6,623.92	Professional		$2,876.56	$3,739.53	$6,623.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $5,522.70 / $7,267.50	Professional		$15.00	$5,522.70	$7,267.50
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 $2,634.52 / $3,743.79 / $6,369.15	Professional		$2,634.52	$3,743.79	$6,369.15