Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,280.69 / $5,045.00 / $6,915.00	Facility		$2,280.69	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,031.86 / $2,522.80 / $4,593.26	Professional		$2,031.86	$2,522.80	$4,593.26
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 $2,221.65 / $3,382.15 / $5,808.98	Professional		$2,221.65	$3,382.15	$5,808.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,061.74 / $3,061.74 / $3,061.74	Facility		$3,061.74	$3,061.74	$3,061.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,136.26 / $2,136.26 / $2,136.26	Professional		$2,136.26	$2,136.26	$2,136.26
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 $2,047.27 / $3,192.36 / $5,303.18	Professional		$2,047.27	$3,192.36	$5,303.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,274.23 / $2,956.51 / $5,165.13	Professional		$2,274.23	$2,956.51	$5,165.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $3,636.33 / $5,785.60	Professional		$7.00	$3,636.33	$5,785.60
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 $2,081.06 / $2,880.56 / $5,261.99	Professional		$2,081.06	$2,880.56	$5,261.99