Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,178.70 / $8,490.70 / $15,152.60	Facility		$3,178.70	$8,490.70	$15,152.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $3,178.70 / $4,588.80	Professional		$3,000.00	$3,178.70	$4,588.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,112.91 / $5,281.90 / $16,538.80	Facility		$3,112.91	$5,281.90	$16,538.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,434.00 / $1,912.00 / $5,927.20	Professional		$1,434.00	$1,912.00	$5,927.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,596.95 / $6,692.00 / $9,368.79	Facility		$3,596.95	$6,692.00	$9,368.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,533.40 / $10,516.00 / $13,265.56	Facility		$2,533.40	$10,516.00	$13,265.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,176.96 / $5,471.11 / $14,296.51	Professional		$2,176.96	$5,471.11	$14,296.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,780.00 / $6,214.00 / $37,257.21	Professional		$4,780.00	$6,214.00	$37,257.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,783.80 / $6,692.00 / $8,843.00	Professional		$5,783.80	$6,692.00	$8,843.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,302.00 / $4,302.00 / $4,302.00	Facility		$4,302.00	$4,302.00	$4,302.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,007.60 / $2,868.00 / $8,685.74	Professional		$2,007.60	$2,868.00	$8,685.74