Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.76 / $5,045.00 / $6,915.00	Facility		$1,995.76	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,829.00 / $2,219.75 / $4,045.04	Professional		$1,829.00	$2,219.75	$4,045.04
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 $1,990.53 / $3,054.73 / $5,143.45	Professional		$1,990.53	$3,054.73	$5,143.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,907.61 / $2,907.61 / $2,907.61	Facility		$2,907.61	$2,907.61	$2,907.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,865.43 / $1,865.43 / $1,865.43	Professional		$1,865.43	$1,865.43	$1,865.43
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 $1,856.33 / $3,047.29 / $5,032.60	Professional		$1,856.33	$3,047.29	$5,032.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,974.36 / $2,566.67 / $4,650.13	Professional		$1,974.36	$2,566.67	$4,650.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $3,511.80 / $5,014.70	Professional		$7.00	$3,511.80	$5,014.70
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 $1,892.36 / $2,629.33 / $4,607.00	Professional		$1,892.36	$2,629.33	$4,607.00