Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,156.33 / $4,708.00 / $6,915.00	Facility		$2,156.33	$4,708.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,966.50 / $2,389.57 / $4,345.70	Professional		$1,966.50	$2,389.57	$4,345.70
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 $2,120.83 / $3,192.04 / $5,437.86	Professional		$2,120.83	$3,192.04	$5,437.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,025.55 / $3,025.55 / $3,025.55	Facility		$3,025.55	$3,025.55	$3,025.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,997.73 / $1,997.73 / $1,997.73	Professional		$1,997.73	$1,997.73	$1,997.73
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 $1,845.38 / $3,278.07 / $5,079.81	Professional		$1,845.38	$3,278.07	$5,079.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,120.83 / $2,757.08 / $4,905.10	Professional		$2,120.83	$2,757.08	$4,905.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,934.10 / $3,372.12 / $4,350.39	Professional		$1,934.10	$3,372.12	$4,350.39
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 $1,976.59 / $2,755.18 / $4,932.22	Professional		$1,976.59	$2,755.18	$4,932.22