Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,888.07 / $5,063.00 / $6,915.00	Facility		$2,888.07	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,638.53 / $3,211.32 / $5,887.91	Professional		$2,638.53	$3,211.32	$5,887.91
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 $2,875.02 / $4,420.51 / $7,528.54	Professional		$2,875.02	$4,420.51	$7,528.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,214.60 / $4,214.60 / $4,214.60	Facility		$4,214.60	$4,214.60	$4,214.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,690.92 / $2,690.92 / $2,690.92	Professional		$2,690.92	$2,690.92	$2,690.92
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 $2,721.14 / $4,415.47 / $6,821.76	Professional		$2,721.14	$4,415.47	$6,821.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,848.09 / $3,702.52 / $6,667.69	Professional		$2,848.09	$3,702.52	$6,667.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,879.38 / $4,560.64 / $6,056.88	Professional		$2,879.38	$4,560.64	$6,056.88
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 $2,742.99 / $3,837.69 / $6,478.90	Professional		$2,742.99	$3,837.69	$6,478.90