Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,188.50 / $5,045.00 / $6,915.00	Facility		$2,188.50	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,999.96 / $2,426.76 / $4,415.35	Professional		$1,999.96	$2,426.76	$4,415.35
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 $2,176.42 / $3,438.75 / $5,963.05	Professional		$2,176.42	$3,438.75	$5,963.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,216.76 / $3,216.76 / $3,216.76	Facility		$3,216.76	$3,216.76	$3,216.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,032.93 / $2,032.93 / $2,032.93	Professional		$2,032.93	$2,032.93	$2,032.93
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 $2,039.17 / $3,397.37 / $5,190.45	Professional		$2,039.17	$3,397.37	$5,190.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,157.27 / $2,804.45 / $6,191.01	Professional		$2,157.27	$2,804.45	$6,191.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,265.13 / $3,468.92 / $4,399.80	Professional		$2,265.13	$3,468.92	$4,399.80
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 $2,073.76 / $2,917.91 / $4,842.29	Professional		$2,073.76	$2,917.91	$4,842.29