Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.52 / $4,128.02 / $21,467.99	Facility		$235.52	$4,128.02	$21,467.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,125.55 / $4,128.02 / $4,909.39	Professional		$4,125.55	$4,128.02	$4,909.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,128.02 / $6,604.83 / $15,149.83	Facility		$4,128.02	$6,604.83	$15,149.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,128.02 / $4,210.58	Professional		$4,128.02	$4,128.02	$4,210.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,128.02 / $4,128.02 / $8,090.92	Facility		$4,128.02	$4,128.02	$8,090.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,128.02 / $4,128.02	Professional		$4,128.02	$4,128.02	$4,128.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,894.36 / $3,894.36 / $4,128.02	Facility		$3,894.36	$3,894.36	$4,128.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,128.02 / $4,843.20	Professional		$4,128.02	$4,128.02	$4,843.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.37 / $147.22 / $5,482.62	Professional		$85.37	$147.22	$5,482.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $105.20 / $4,540.82 / $8,283.09	Professional		$105.20	$4,540.82	$8,283.09
United Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,128.02 / $5,160.03	Professional		$4,128.02	$4,128.02	$5,160.03