Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,719.48 / $5,063.00 / $7,421.00	Facility		$2,719.48	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,527.42 / $3,023.82 / $5,498.00	Professional		$2,527.42	$3,023.82	$5,498.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.95 / $3,595.87 / $8,313.99	Facility		$659.95	$3,595.87	$8,313.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,703.11 / $4,192.92 / $7,190.27	Professional		$2,703.11	$4,192.92	$7,190.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,202.46 / $4,202.46 / $4,202.46	Facility		$4,202.46	$4,202.46	$4,202.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,513.40 / $2,513.40 / $2,513.40	Professional		$2,513.40	$2,513.40	$2,513.40
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 $2,628.88 / $4,324.78 / $7,225.33	Professional		$2,628.88	$4,324.78	$7,225.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,662.78 / $3,461.61 / $6,710.21	Professional		$2,662.78	$3,461.61	$6,710.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $5,005.30 / $6,816.70	Professional		$8.00	$5,005.30	$6,816.70
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 $2,657.18 / $3,767.62 / $6,437.80	Professional		$2,657.18	$3,767.62	$6,437.80