Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,242.12 / $5,045.00 / $6,915.00	Facility		$2,242.12	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,049.40 / $2,486.84 / $4,775.71	Professional		$2,049.40	$2,486.84	$4,775.71
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 $2,230.90 / $3,523.16 / $6,112.34	Professional		$2,230.90	$3,523.16	$6,112.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,300.56 / $3,300.56 / $3,300.56	Facility		$3,300.56	$3,300.56	$3,300.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,083.69 / $2,083.69 / $2,083.69	Professional		$2,083.69	$2,083.69	$2,083.69
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 $2,093.66 / $3,457.29 / $5,353.59	Professional		$2,093.66	$3,457.29	$5,353.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,210.62 / $2,873.81 / $6,379.21	Professional		$2,210.62	$2,873.81	$6,379.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,195.80 / $3,517.22 / $4,516.00	Professional		$2,195.80	$3,517.22	$4,516.00
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 $2,125.67 / $2,982.90 / $5,136.38	Professional		$2,125.67	$2,982.90	$5,136.38