Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,154.60 / $5,968.24 / $10,270.79	Facility		$2,154.60	$5,968.24	$10,270.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,154.60 / $2,754.00 / $3,110.40	Professional		$2,154.60	$2,754.00	$3,110.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,794.18 / $3,240.00 / $4,154.79	Facility		$1,794.18	$3,240.00	$4,154.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,036.80 / $1,296.00 / $4,017.60	Professional		$1,036.80	$1,296.00	$4,017.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,240.00 / $4,698.00 / $6,963.72	Facility		$3,240.00	$4,698.00	$6,963.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,212.00 / $7,128.00 / $9,990.40	Facility		$4,212.00	$7,128.00	$9,990.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,592.00 / $18,236.09 / $18,236.09	Professional		$2,592.00	$18,236.09	$18,236.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,916.00 / $4,212.00 / $25,255.12	Professional		$2,916.00	$4,212.00	$25,255.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,758.40 / $4,341.60 / $5,994.00	Professional		$3,758.40	$4,341.60	$5,994.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,360.80 / $1,944.00 / $5,671.62	Professional		$1,360.80	$1,944.00	$5,671.62