Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,327.50 / $6,217.05 / $11,095.00	Facility		$2,327.50	$6,217.05	$11,095.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,327.50 / $3,072.00 / $3,360.00	Professional		$2,327.50	$3,072.00	$3,360.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $502.24 / $3,500.00 / $10,663.10	Facility		$502.24	$3,500.00	$10,663.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.33 / $239.16 / $3,150.00	Professional		$191.33	$239.16	$3,150.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $5,075.00 / $7,522.53	Facility		$3,500.00	$5,075.00	$7,522.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,228.85 / $7,700.00 / $10,791.87	Facility		$5,228.85	$7,700.00	$10,791.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,047.50 / $18,024.24 / $18,024.24	Professional		$2,047.50	$18,024.24	$18,024.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,150.00 / $6,251.94 / $16,243.05	Professional		$3,150.00	$6,251.94	$16,243.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,500.00 / $4,690.00 / $6,475.00	Professional		$3,500.00	$4,690.00	$6,475.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,470.00 / $2,100.00 / $6,126.75	Professional		$1,470.00	$2,100.00	$6,126.75