Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,301.65 / $5,045.00 / $6,915.00	Facility		$2,301.65	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,111.15 / $2,564.66 / $4,673.07	Professional		$2,111.15	$2,564.66	$4,673.07
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 $2,280.05 / $3,402.51 / $5,857.19	Professional		$2,280.05	$3,402.51	$5,857.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,383.33 / $3,383.33 / $3,383.33	Facility		$3,383.33	$3,383.33	$3,383.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,157.75 / $2,157.75 / $2,157.75	Professional		$2,157.75	$2,157.75	$2,157.75
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 $1,841.66 / $3,533.62 / $5,461.19	Professional		$1,841.66	$3,533.62	$5,461.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,280.05 / $2,964.07 / $5,337.86	Professional		$2,280.05	$2,964.07	$5,337.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $4,042.80 / $5,771.90	Professional		$7.00	$4,042.80	$5,771.90
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 $2,189.84 / $3,015.30 / $5,335.69	Professional		$2,189.84	$3,015.30	$5,335.69