Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,027.45 / $5,063.00 / $6,915.00	Facility		$3,027.45	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,651.59 / $3,373.26 / $6,448.46	Professional		$2,651.59	$3,373.26	$6,448.46
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 $2,505.48 / $4,226.13 / $7,667.43	Professional		$2,505.48	$4,226.13	$7,667.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,956.09 / $3,956.09 / $3,956.09	Facility		$3,956.09	$3,956.09	$3,956.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,832.07 / $2,832.07 / $2,832.07	Professional		$2,832.07	$2,832.07	$2,832.07
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 $2,149.09 / $4,515.00 / $7,166.95	Professional		$2,149.09	$4,515.00	$7,166.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,992.21 / $3,590.65 / $6,724.87	Professional		$2,992.21	$3,590.65	$6,724.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $5,321.20 / $7,584.90	Professional		$7.00	$5,321.20	$7,584.90
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 $2,638.01 / $3,750.41 / $6,648.82	Professional		$2,638.01	$3,750.41	$6,648.82