Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,783.35 / $6,617.56 / $12,908.40	Facility		$4,783.35	$6,617.56	$12,908.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,783.35 / $6,617.56 / $8,036.03	Professional		$4,783.35	$6,617.56	$8,036.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,329.84 / $9,189.66 / $24,887.78	Facility		$6,329.84	$9,189.66	$24,887.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,877.20 / $7,193.00 / $9,350.90	Professional		$2,877.20	$7,193.00	$9,350.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,193.00 / $10,429.85 / $15,459.87	Facility		$7,193.00	$10,429.85	$15,459.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,171.31 / $11,688.63 / $22,179.29	Facility		$7,171.31	$11,688.63	$22,179.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,413.93 / $6,393.90 / $21,513.94	Professional		$3,413.93	$6,393.90	$21,513.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,193.00 / $9,865.09 / $56,063.93	Professional		$7,193.00	$9,865.09	$56,063.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8,703.53 / $10,070.20 / $13,307.05	Professional		$8,703.53	$10,070.20	$13,307.05
United Facility/Professional Facility Modifier Low / Median / High Price $6,473.70 / $6,473.70 / $6,473.70	Facility		$6,473.70	$6,473.70	$6,473.70
United Facility/Professional Professional Modifier Low / Median / High Price $3,021.06 / $4,315.80 / $12,591.35	Professional		$3,021.06	$4,315.80	$12,591.35