Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,438.37 / $6,726.00 / $14,497.00	Facility		$2,438.37	$6,726.00	$14,497.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,938.05 / $2,317.81 / $4,384.51	Professional		$1,938.05	$2,317.81	$4,384.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $5,136.49 / $17,035.45	Facility		$875.00	$5,136.49	$17,035.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,072.16 / $3,331.39 / $5,511.96	Professional		$2,072.16	$3,331.39	$5,511.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,244.07 / $3,244.07 / $3,244.07	Facility		$3,244.07	$3,244.07	$3,244.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,931.28 / $1,931.28 / $1,931.28	Professional		$1,931.28	$1,931.28	$1,931.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $2,385.92	Facility		$200.00	$617.00	$2,385.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,012.58 / $3,342.07 / $4,917.24	Professional		$2,012.58	$3,342.07	$4,917.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,052.94 / $2,668.84 / $4,806.20	Professional		$2,052.94	$2,668.84	$4,806.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,272.09 / $3,257.83 / $4,543.80	Professional		$2,272.09	$3,257.83	$4,543.80
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 $2,054.14 / $2,979.90 / $4,963.42	Professional		$2,054.14	$2,979.90	$4,963.42