Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,683.75 / $5,045.00 / $6,915.00	Facility		$2,683.75	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,475.69 / $2,986.84 / $5,449.25	Professional		$2,475.69	$2,986.84	$5,449.25
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 $2,691.22 / $4,107.77 / $6,916.43	Professional		$2,691.22	$4,107.77	$6,916.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,907.63 / $3,907.63 / $3,907.63	Facility		$3,907.63	$3,907.63	$3,907.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,525.11 / $2,525.11 / $2,525.11	Professional		$2,525.11	$2,525.11	$2,525.11
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 $2,543.84 / $4,101.13 / $6,844.40	Professional		$2,543.84	$4,101.13	$6,844.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,672.41 / $3,474.13 / $6,299.05	Professional		$2,672.41	$3,474.13	$6,299.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $4,451.60 / $6,748.70	Professional		$15.00	$4,451.60	$6,748.70
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 $2,550.76 / $3,646.19 / $6,273.26	Professional		$2,550.76	$3,646.19	$6,273.26