Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,980.00 / $21,315.60 / $38,040.00	Facility		$7,980.00	$21,315.60	$38,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,900.00 / $7,980.00 / $11,520.00	Professional		$1,900.00	$7,980.00	$11,520.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,800.00 / $13,031.06 / $16,538.80	Facility		$4,800.00	$13,031.06	$16,538.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,600.00 / $4,800.00 / $14,880.00	Professional		$3,600.00	$4,800.00	$14,880.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9,030.00 / $16,800.00 / $23,520.00	Facility		$9,030.00	$16,800.00	$23,520.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,360.00 / $26,400.00 / $33,302.18	Facility		$6,360.00	$26,400.00	$33,302.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,100.30 / $13,735.02 / $35,891.71	Professional		$2,100.30	$13,735.02	$35,891.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12,000.00 / $15,600.00 / $93,533.26	Professional		$12,000.00	$15,600.00	$93,533.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14,520.00 / $16,800.00 / $22,200.00	Professional		$14,520.00	$16,800.00	$22,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $5,040.00 / $7,200.00 / $21,006.00	Professional		$5,040.00	$7,200.00	$21,006.00