Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,221.42 / $5,045.00 / $6,915.00	Facility		$2,221.42	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,091.55 / $2,483.07 / $4,651.72	Professional		$2,091.55	$2,483.07	$4,651.72
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 $2,219.86 / $3,448.62 / $5,904.83	Professional		$2,219.86	$3,448.62	$5,904.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,516.57 / $3,516.57 / $3,516.57	Facility		$3,516.57	$3,516.57	$3,516.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,086.35 / $2,086.35 / $2,086.35	Professional		$2,086.35	$2,086.35	$2,086.35
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 $2,150.98 / $3,568.36 / $5,967.60	Professional		$2,150.98	$3,568.36	$5,967.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,197.38 / $2,856.59 / $5,537.40	Professional		$2,197.38	$2,856.59	$5,537.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $3,992.80 / $5,531.40	Professional		$15.00	$3,992.80	$5,531.40
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 $2,169.73 / $3,086.03 / $5,312.61	Professional		$2,169.73	$3,086.03	$5,312.61