Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,118.58 / $5,045.00 / $6,915.00	Facility		$2,118.58	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,946.91 / $2,361.23 / $4,304.28	Professional		$1,946.91	$2,361.23	$4,304.28
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 $2,042.06 / $3,043.99 / $5,383.48	Professional		$2,042.06	$3,043.99	$5,383.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,946.74 / $2,946.74 / $2,946.74	Facility		$2,946.74	$2,946.74	$2,946.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,989.87 / $1,989.87 / $1,989.87	Professional		$1,989.87	$1,989.87	$1,989.87
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 $1,765.18 / $3,246.90 / $5,036.01	Professional		$1,765.18	$3,246.90	$5,036.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,102.54 / $2,733.30 / $4,849.91	Professional		$2,102.54	$2,733.30	$4,849.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $3,697.10 / $5,314.40	Professional		$7.00	$3,697.10	$5,314.40
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 $1,949.50 / $2,704.76 / $4,886.74	Professional		$1,949.50	$2,704.76	$4,886.74