Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,101.01 / $2,101.01 / $5,612.08	Facility		$2,101.01	$2,101.01	$5,612.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,895.65 / $2,748.70 / $3,033.04	Professional		$1,895.65	$2,748.70	$3,033.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,749.55 / $3,159.42 / $4,051.45	Facility		$1,749.55	$3,159.42	$4,051.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,296.00 / $1,296.00 / $4,017.60	Professional		$1,296.00	$1,296.00	$4,017.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,159.42 / $4,581.16 / $6,790.53	Facility		$3,159.42	$4,581.16	$6,790.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,107.24 / $6,950.72 / $9,741.73	Facility		$4,107.24	$6,950.72	$9,741.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17,784.22 / $17,784.22 / $17,784.22	Professional		$17,784.22	$17,784.22	$17,784.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,843.48 / $4,107.25 / $24,626.88	Professional		$2,843.48	$4,107.25	$24,626.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,664.93 / $4,233.62 / $5,844.93	Professional		$3,664.93	$4,233.62	$5,844.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,326.96 / $1,895.65 / $5,530.56	Professional		$1,326.96	$1,895.65	$5,530.56