Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,394.00 / $3,312.00 / $6,460.27	Facility		$2,394.00	$3,312.00	$6,460.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,394.00 / $3,348.00 / $4,021.92	Professional		$2,394.00	$3,348.00	$4,021.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,168.00 / $4,599.30 / $12,456.00	Facility		$3,168.00	$4,599.30	$12,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,440.00 / $3,600.00 / $5,765.04	Professional		$1,440.00	$3,600.00	$5,765.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,600.00 / $5,220.00 / $7,737.46	Facility		$3,600.00	$5,220.00	$7,737.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,589.04 / $5,850.00 / $11,100.11	Facility		$3,589.04	$5,850.00	$11,100.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,708.62 / $3,200.05 / $10,767.13	Professional		$1,708.62	$3,200.05	$10,767.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,600.00 / $4,680.00 / $28,059.14	Professional		$3,600.00	$4,680.00	$28,059.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,356.00 / $5,040.00 / $6,660.00	Professional		$4,356.00	$5,040.00	$6,660.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,240.00 / $3,240.00 / $3,600.00	Facility		$3,240.00	$3,240.00	$3,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,512.00 / $2,160.00 / $6,301.80	Professional		$1,512.00	$2,160.00	$6,301.80