Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,443.88 / $2,443.88 / $6,527.90	Facility		$2,443.88	$2,443.88	$6,527.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,443.88 / $3,197.25 / $3,528.00	Professional		$2,443.88	$3,197.25	$3,528.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.29 / $3,675.00 / $4,712.60	Facility		$2,393.29	$3,675.00	$4,712.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,700.00 / $5,181.75	Professional		$1,500.00	$2,700.00	$5,181.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,675.00 / $5,328.75 / $7,898.66	Facility		$3,675.00	$5,328.75	$7,898.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,777.50 / $8,085.00 / $11,332.06	Facility		$4,777.50	$8,085.00	$11,332.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,027.00 / $8,893.50 / $20,684.59	Professional		$6,027.00	$8,893.50	$20,684.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,307.50 / $4,777.50 / $8,577.46	Professional		$3,307.50	$4,777.50	$8,577.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,446.75 / $5,145.00 / $6,798.75	Professional		$4,446.75	$5,145.00	$6,798.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,543.50 / $2,205.00 / $6,677.84	Professional		$1,543.50	$2,205.00	$6,677.84