Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,903.53 / $5,063.00 / $6,915.00	Facility		$2,903.53	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,650.39 / $3,251.33 / $6,243.42	Professional		$2,650.39	$3,251.33	$6,243.42
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 $3,100.11 / $4,790.93 / $7,969.91	Professional		$3,100.11	$4,790.93	$7,969.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,608.88 / $4,608.88 / $4,608.88	Facility		$4,608.88	$4,608.88	$4,608.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,910.57 / $2,910.57 / $2,910.57	Professional		$2,910.57	$2,910.57	$2,910.57
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 $2,734.18 / $4,537.35 / $7,368.23	Professional		$2,734.18	$4,537.35	$7,368.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,076.25 / $3,999.13 / $7,201.83	Professional		$3,076.25	$3,999.13	$7,201.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $5,120.30 / $7,777.10	Professional		$15.00	$5,120.30	$7,777.10
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 $2,869.99 / $4,206.45 / $7,491.28	Professional		$2,869.99	$4,206.45	$7,491.28