Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,128.00 / $2,128.00 / $5,684.16	Facility		$2,128.00	$2,128.00	$5,684.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,128.00 / $2,720.00 / $3,072.00	Professional		$2,128.00	$2,720.00	$3,072.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.27 / $3,200.00 / $4,103.49	Facility		$1,949.27	$3,200.00	$4,103.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.40 / $1,324.79 / $3,955.20	Professional		$1,148.40	$1,324.79	$3,955.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,200.00 / $4,640.00 / $6,877.73	Facility		$3,200.00	$4,640.00	$6,877.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,780.67 / $7,040.00 / $9,867.10	Facility		$4,780.67	$7,040.00	$9,867.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,880.00 / $3,520.00 / $4,480.00	Professional		$2,880.00	$3,520.00	$4,480.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,712.00 / $4,288.00 / $5,920.00	Professional		$3,712.00	$4,288.00	$5,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,344.00 / $1,920.00 / $5,814.72	Professional		$1,344.00	$1,920.00	$5,814.72