Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,841.84 / $5,063.00 / $6,915.00	Facility		$2,841.84	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,610.86 / $3,168.23 / $5,775.64	Professional		$2,610.86	$3,168.23	$5,775.64
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 $2,822.85 / $4,349.76 / $7,219.99	Professional		$2,822.85	$4,349.76	$7,219.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,117.06 / $4,117.06 / $4,117.06	Facility		$4,117.06	$4,117.06	$4,117.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,669.49 / $2,669.49 / $2,669.49	Professional		$2,669.49	$2,669.49	$2,669.49
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 $2,631.41 / $4,387.63 / $6,754.11	Professional		$2,631.41	$4,387.63	$6,754.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,819.85 / $3,665.81 / $6,601.59	Professional		$2,819.85	$3,665.81	$6,601.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,517.30 / $4,501.76 / $5,699.00	Professional		$3,517.30	$4,501.76	$5,699.00
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 $2,682.06 / $3,703.79 / $6,574.04	Professional		$2,682.06	$3,703.79	$6,574.04