Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,575.55 / $2,575.55 / $6,879.61	Facility		$2,575.55	$2,575.55	$6,879.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,575.55 / $3,292.05 / $3,718.08	Professional		$2,575.55	$3,292.05	$3,718.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,296.80 / $3,873.00 / $4,966.51	Facility		$2,296.80	$3,873.00	$4,966.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.40 / $1,148.40 / $3,873.00	Professional		$1,148.40	$1,148.40	$3,873.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,873.00 / $5,615.85 / $8,324.21	Facility		$3,873.00	$5,615.85	$8,324.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,786.11 / $8,520.60 / $11,942.28	Facility		$5,786.11	$8,520.60	$11,942.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,936.50 / $9,372.66 / $10,108.53	Professional		$1,936.50	$9,372.66	$10,108.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,485.70 / $5,034.89 / $9,039.53	Professional		$3,485.70	$5,034.89	$9,039.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,686.33 / $5,422.20 / $7,165.05	Professional		$4,686.33	$5,422.20	$7,165.05
United Facility/Professional Professional Modifier Low / Median / High Price $1,626.66 / $2,323.80 / $6,779.69	Professional		$1,626.66	$2,323.80	$6,779.69