Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,178.70 / $8,805.00 / $15,152.60	Facility		$3,178.70	$8,805.00	$15,152.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,178.70 / $4,063.00 / $4,588.80	Professional		$3,178.70	$4,063.00	$4,588.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,585.00 / $5,281.90 / $14,562.75	Facility		$3,585.00	$5,281.90	$14,562.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,059.20 / $3,824.00 / $7,459.67	Professional		$3,059.20	$3,824.00	$7,459.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,780.00 / $6,931.00 / $10,273.62	Facility		$4,780.00	$6,931.00	$10,273.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,141.13 / $10,516.00 / $14,739.52	Facility		$7,141.13	$10,516.00	$14,739.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,824.00 / $24,616.24 / $24,616.24	Professional		$3,824.00	$24,616.24	$24,616.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,302.00 / $8,538.34 / $22,182.59	Professional		$4,302.00	$8,538.34	$22,182.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,780.00 / $6,405.20 / $8,843.00	Professional		$4,780.00	$6,405.20	$8,843.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,975.00 / $5,975.00 / $5,975.00	Facility		$5,975.00	$5,975.00	$5,975.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,007.60 / $2,868.00 / $8,367.39	Professional		$2,007.60	$2,868.00	$8,367.39