Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,303.50 / $5,045.00 / $6,915.00	Facility		$2,303.50	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,115.42 / $2,568.44 / $4,681.00	Professional		$2,115.42	$2,568.44	$4,681.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.95 / $3,801.18 / $10,304.31	Facility		$659.95	$3,801.18	$10,304.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,284.90 / $3,493.29 / $5,850.81	Professional		$2,284.90	$3,493.29	$5,850.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,322.97 / $3,322.97 / $3,322.97	Facility		$3,322.97	$3,322.97	$3,322.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,163.44 / $2,163.44 / $2,163.44	Professional		$2,163.44	$2,163.44	$2,163.44
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 $2,128.87 / $3,533.18 / $5,472.79	Professional		$2,128.87	$3,533.18	$5,472.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,284.90 / $2,970.37 / $5,346.54	Professional		$2,284.90	$2,970.37	$5,346.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $3,989.30 / $5,773.90	Professional		$7.00	$3,989.30	$5,773.90
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 $2,159.17 / $2,981.72 / $5,093.85	Professional		$2,159.17	$2,981.72	$5,093.85