Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,150.86 / $5,045.00 / $6,915.00	Facility		$2,150.86	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,968.33 / $2,392.35 / $4,356.70	Professional		$1,968.33	$2,392.35	$4,356.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.95 / $3,801.18 / $10,304.31	Facility		$659.95	$3,801.18	$10,304.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,124.83 / $3,174.83 / $5,465.25	Professional		$2,124.83	$3,174.83	$5,465.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,075.62 / $3,075.62 / $3,075.62	Facility		$3,075.62	$3,075.62	$3,075.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,007.91 / $2,007.91 / $2,007.91	Professional		$2,007.91	$2,007.91	$2,007.91
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 $1,838.65 / $3,282.93 / $5,089.41	Professional		$1,838.65	$3,282.93	$5,089.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,124.83 / $2,762.28 / $4,933.14	Professional		$2,124.83	$2,762.28	$4,933.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $3,782.70 / $5,400.20	Professional		$7.00	$3,782.70	$5,400.20
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 $2,041.06 / $2,788.89 / $4,743.39	Professional		$2,041.06	$2,788.89	$4,743.39