Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,575.55 / $6,879.61 / $12,277.40	Facility		$2,575.55	$6,879.61	$12,277.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,575.55 / $3,671.60 / $4,326.92	Professional		$2,575.55	$3,671.60	$4,326.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,522.23 / $4,260.30 / $13,400.58	Facility		$2,522.23	$4,260.30	$13,400.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,239.35 / $1,549.20 / $4,802.52	Professional		$1,239.35	$1,549.20	$4,802.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,873.00 / $5,615.85 / $8,326.95	Facility		$3,873.00	$5,615.85	$8,326.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,873.00 / $4,647.60 / $5,034.89	Professional		$3,873.00	$4,647.60	$5,034.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,238.17 / $6,667.86 / $11,942.28	Facility		$2,238.17	$6,667.86	$11,942.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,723.48 / $4,432.76 / $14,995.16	Professional		$1,723.48	$4,432.76	$14,995.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,485.70 / $5,034.89 / $30,188.70	Professional		$3,485.70	$5,034.89	$30,188.70
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 Facility Modifier Low / Median / High Price $3,074.26 / $3,485.70 / $3,873.00	Facility		$3,074.26	$3,485.70	$3,873.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,626.66 / $2,323.80 / $7,037.63	Professional		$1,626.66	$2,323.80	$7,037.63