Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,497.96 / $5,045.00 / $6,915.00	Facility		$2,497.96	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,226.06 / $2,766.32 / $5,044.05	Professional		$2,226.06	$2,766.32	$5,044.05
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 $2,504.38 / $3,786.65 / $6,361.13	Professional		$2,504.38	$3,786.65	$6,361.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,495.18 / $3,495.18 / $3,495.18	Facility		$3,495.18	$3,495.18	$3,495.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,339.55 / $2,339.55 / $2,339.55	Professional		$2,339.55	$2,339.55	$2,339.55
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 $2,315.85 / $3,713.75 / $5,958.78	Professional		$2,315.85	$3,713.75	$5,958.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,487.80 / $3,234.14 / $5,602.71	Professional		$2,487.80	$3,234.14	$5,602.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $4,242.80 / $6,326.80	Professional		$7.00	$4,242.80	$6,326.80
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 $2,358.59 / $3,196.54 / $5,444.29	Professional		$2,358.59	$3,196.54	$5,444.29