Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,793.73 / $1,793.73 / $1,793.73	Facility		$1,793.73	$1,793.73	$1,793.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,793.73 / $1,793.73 / $2,730.00	Professional		$1,793.73	$1,793.73	$2,730.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $502.24 / $3,500.00 / $4,488.20	Facility		$502.24	$3,500.00	$4,488.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.16 / $741.39 / $4,795.00	Professional		$239.16	$741.39	$4,795.00
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 $4,550.00 / $7,700.00 / $10,791.87	Facility		$4,550.00	$7,700.00	$10,791.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,740.00 / $8,470.00 / $19,700.91	Professional		$5,740.00	$8,470.00	$19,700.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,150.00 / $4,550.00 / $8,169.02	Professional		$3,150.00	$4,550.00	$8,169.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,235.00 / $4,900.00 / $6,475.00	Professional		$4,235.00	$4,900.00	$6,475.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,150.00 / $3,150.00 / $3,150.00	Facility		$3,150.00	$3,150.00	$3,150.00
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