Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,900.83 / $5,063.00 / $6,915.00	Facility		$2,900.83	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,650.11 / $3,225.65 / $5,874.73	Professional		$2,650.11	$3,225.65	$5,874.73
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 $2,887.71 / $4,440.05 / $7,593.97	Professional		$2,887.71	$4,440.05	$7,593.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,237.03 / $4,237.03 / $4,237.03	Facility		$4,237.03	$4,237.03	$4,237.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,702.84 / $2,702.84 / $2,702.84	Professional		$2,702.84	$2,702.84	$2,702.84
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 $2,728.12 / $4,429.77 / $6,851.77	Professional		$2,728.12	$4,429.77	$6,851.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,860.62 / $3,718.81 / $6,697.05	Professional		$2,860.62	$3,718.81	$6,697.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,892.15 / $4,580.29 / $6,083.80	Professional		$2,892.15	$4,580.29	$6,083.80
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 $2,758.63 / $3,995.84 / $6,820.13	Professional		$2,758.63	$3,995.84	$6,820.13