Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,394.00 / $6,394.68 / $14,497.00	Facility		$2,394.00	$6,394.68	$14,497.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,394.00 / $3,060.00 / $3,456.00	Professional		$2,394.00	$3,060.00	$3,456.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.44 / $3,600.00 / $4,616.43	Facility		$2,344.44	$3,600.00	$4,616.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,440.00 / $1,440.00 / $4,464.00	Professional		$1,440.00	$1,440.00	$4,464.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,600.00 / $5,220.00 / $7,737.46	Facility		$3,600.00	$5,220.00	$7,737.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,378.26 / $7,920.00 / $11,100.11	Facility		$5,378.26	$7,920.00	$11,100.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,800.00 / $8,712.00 / $9,396.00	Professional		$1,800.00	$8,712.00	$9,396.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,240.00 / $4,680.00 / $8,402.32	Professional		$3,240.00	$4,680.00	$8,402.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,356.00 / $5,040.00 / $6,660.00	Professional		$4,356.00	$5,040.00	$6,660.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,512.00 / $2,160.00 / $6,301.80	Professional		$1,512.00	$2,160.00	$6,301.80