Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,460.60 / $5,045.00 / $6,915.00	Facility		$2,460.60	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,263.67 / $2,740.56 / $4,997.74	Professional		$2,263.67	$2,740.56	$4,997.74
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 $2,461.53 / $3,766.22 / $6,253.71	Professional		$2,461.53	$3,766.22	$6,253.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,554.72 / $3,554.72 / $3,554.72	Facility		$3,554.72	$3,554.72	$3,554.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,311.64 / $2,311.64 / $2,311.64	Professional		$2,311.64	$2,311.64	$2,311.64
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 $2,287.50 / $3,789.19 / $5,854.49	Professional		$2,287.50	$3,789.19	$5,854.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,444.26 / $3,177.54 / $5,700.37	Professional		$2,444.26	$3,177.54	$5,700.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,059.70 / $3,906.11 / $4,938.39	Professional		$3,059.70	$3,906.11	$4,938.39
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 $2,323.42 / $3,179.05 / $5,481.13	Professional		$2,323.42	$3,179.05	$5,481.13