Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,652.51 / $5,652.51 / $15,098.60	Facility		$5,652.51	$5,652.51	$15,098.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,652.51 / $7,225.01 / $8,160.01	Professional		$5,652.51	$7,225.01	$8,160.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,253.32 / $8,500.00 / $10,899.91	Facility		$3,253.32	$8,500.00	$10,899.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,549.20 / $1,549.20 / $8,500.00	Professional		$1,549.20	$1,549.20	$8,500.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8,500.00 / $12,325.00 / $18,269.00	Facility		$8,500.00	$12,325.00	$18,269.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,698.66 / $18,700.00 / $26,705.32	Facility		$12,698.66	$18,700.00	$26,705.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,650.00 / $9,350.00 / $11,900.00	Professional		$7,650.00	$9,350.00	$11,900.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9,860.00 / $11,390.00 / $15,725.00	Professional		$9,860.00	$11,390.00	$15,725.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,570.00 / $5,100.00 / $14,879.25	Professional		$3,570.00	$5,100.00	$14,879.25