Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,524.34 / $5,063.00 / $6,915.00	Facility		$3,524.34	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,229.43 / $3,916.30 / $7,147.48	Professional		$3,229.43	$3,916.30	$7,147.48
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 $3,503.65 / $5,193.97 / $8,958.42	Professional		$3,503.65	$5,193.97	$8,958.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,030.31 / $5,030.31 / $5,030.31	Facility		$5,030.31	$5,030.31	$5,030.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,306.18 / $3,306.18 / $3,306.18	Professional		$3,306.18	$3,306.18	$3,306.18
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 $3,026.84 / $5,229.77 / $8,391.95	Professional		$3,026.84	$5,229.77	$8,391.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,503.65 / $4,554.75 / $8,015.59	Professional		$3,503.65	$4,554.75	$8,015.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $5,908.80 / $8,879.90	Professional		$7.00	$5,908.80	$8,879.90
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 $3,328.98 / $4,643.95 / $7,830.58	Professional		$3,328.98	$4,643.95	$7,830.58