Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,394.00 / $5,099.22 / $11,412.00	Facility		$2,394.00	$5,099.22	$11,412.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,394.00 / $3,060.00 / $3,456.00	Professional		$2,394.00	$3,060.00	$3,456.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.44 / $3,744.00 / $10,967.76	Facility		$2,344.44	$3,744.00	$10,967.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,152.00 / $1,440.00 / $4,464.00	Professional		$1,152.00	$1,440.00	$4,464.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,600.00 / $5,220.00 / $7,737.46	Facility		$3,600.00	$5,220.00	$7,737.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,378.26 / $7,920.00 / $11,100.11	Facility		$5,378.26	$7,920.00	$11,100.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,800.00 / $18,539.25 / $18,539.25	Professional		$2,800.00	$18,539.25	$18,539.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,240.00 / $6,430.48 / $16,706.15	Professional		$3,240.00	$6,430.48	$16,706.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,600.00 / $4,824.00 / $6,660.00	Professional		$3,600.00	$4,824.00	$6,660.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,512.00 / $2,160.00 / $6,541.56	Professional		$1,512.00	$2,160.00	$6,541.56