Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,592.00 / $5,063.00 / $8,902.09	Facility		$4,592.00	$5,063.00	$8,902.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,305.39 / $5,201.26 / $9,477.62	Professional		$4,305.39	$5,201.26	$9,477.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $610.00 / $2,700.00 / $6,065.87	Facility		$610.00	$2,700.00	$6,065.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,689.18 / $6,861.77 / $11,655.27	Professional		$4,689.18	$6,861.77	$11,655.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,616.08 / $6,616.08 / $6,616.08	Facility		$6,616.08	$6,616.08	$6,616.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,401.49 / $4,401.49 / $4,401.49	Professional		$4,401.49	$4,401.49	$4,401.49
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 $4,380.78 / $7,164.66 / $10,863.74	Professional		$4,380.78	$7,164.66	$10,863.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,659.31 / $6,057.10 / $8,852.69	Professional		$4,659.31	$6,057.10	$8,852.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $8,251.00 / $11,726.30	Professional		$13.00	$8,251.00	$11,726.30
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 $4,412.03 / $5,985.46 / $10,964.23	Professional		$4,412.03	$5,985.46	$10,964.23