Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,443.88 / $6,769.55 / $11,649.80	Facility		$2,443.88	$6,769.55	$11,649.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,443.88 / $3,197.25 / $3,528.00	Professional		$2,443.88	$3,197.25	$3,528.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $345.28 / $3,675.00 / $4,712.60	Facility		$345.28	$3,675.00	$4,712.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.40 / $208.00 / $2,756.25	Professional		$166.40	$208.00	$2,756.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,675.00 / $5,328.75 / $7,898.66	Facility		$3,675.00	$5,328.75	$7,898.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,490.30 / $8,085.00 / $11,332.06	Facility		$5,490.30	$8,085.00	$11,332.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,940.00 / $20,684.59 / $20,684.59	Professional		$2,940.00	$20,684.59	$20,684.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,307.50 / $4,777.50 / $28,643.88	Professional		$3,307.50	$4,777.50	$28,643.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,675.00 / $4,924.50 / $6,798.75	Professional		$3,675.00	$4,924.50	$6,798.75
United Facility/Professional Facility Modifier Low / Median / High Price $3,307.50 / $3,307.50 / $3,675.00	Facility		$3,307.50	$3,307.50	$3,675.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,543.50 / $2,205.00 / $6,433.09	Professional		$1,543.50	$2,205.00	$6,433.09