Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,194.00 / $5,137.00 / $8,867.74	Facility		$4,194.00	$5,137.00	$8,867.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,426.95 / $5,474.36 / $9,987.21	Professional		$4,426.95	$5,474.36	$9,987.21
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 $4,721.33 / $7,285.55 / $12,550.32	Professional		$4,721.33	$7,285.55	$12,550.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,267.57 / $7,267.57 / $7,267.57	Facility		$7,267.57	$7,267.57	$7,267.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,605.04 / $4,605.04 / $4,605.04	Professional		$4,605.04	$4,605.04	$4,605.04
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 $3,648.64 / $7,548.62 / $11,625.05	Professional		$3,648.64	$7,548.62	$11,625.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,853.47 / $6,309.51 / $11,362.52	Professional		$4,853.47	$6,309.51	$11,362.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,610.80 / $7,280.20 / $9,809.93	Professional		$4,610.80	$7,280.20	$9,809.93
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 $4,691.87 / $6,548.69 / $11,290.85	Professional		$4,691.87	$6,548.69	$11,290.85