Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,208.43 / $5,063.00 / $7,542.38	Facility		$4,208.43	$5,063.00	$7,542.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,753.88 / $4,596.53 / $8,458.81	Professional		$3,753.88	$4,596.53	$8,458.81
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 $4,095.86 / $6,113.18 / $10,721.99	Professional		$4,095.86	$6,113.18	$10,721.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,675.86 / $5,675.86 / $5,675.86	Facility		$5,675.86	$5,675.86	$5,675.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,947.75 / $3,947.75 / $3,947.75	Professional		$3,947.75	$3,947.75	$3,947.75
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 $3,604.07 / $6,060.01 / $9,977.61	Professional		$3,604.07	$6,060.01	$9,977.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,178.08 / $5,431.50 / $9,605.46	Professional		$4,178.08	$5,431.50	$9,605.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $6,784.70 / $10,580.90	Professional		$7.00	$6,784.70	$10,580.90
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 $3,875.14 / $5,356.89 / $10,101.34	Professional		$3,875.14	$5,356.89	$10,101.34