Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,171.04 / $5,171.04 / $13,955.00	Facility		$5,171.04	$5,171.04	$13,955.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,665.60 / $7,153.92 / $8,687.35	Professional		$4,665.60	$7,153.92	$8,687.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $619.67 / $8,475.44 / $26,904.96	Facility		$619.67	$8,475.44	$26,904.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.87 / $309.83 / $7,776.00	Professional		$247.87	$309.83	$7,776.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,776.00 / $11,275.20 / $16,712.91	Facility		$7,776.00	$11,275.20	$16,712.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,752.77 / $12,636.00 / $23,977.59	Facility		$7,752.77	$12,636.00	$23,977.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,541.49 / $4,354.56 / $43,768.99	Professional		$3,541.49	$4,354.56	$43,768.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,998.40 / $10,939.00 / $60,608.57	Professional		$6,998.40	$10,939.00	$60,608.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9,408.95 / $10,886.40 / $14,385.60	Professional		$9,408.95	$10,886.40	$14,385.60
United Facility/Professional Professional Modifier Low / Median / High Price $3,265.92 / $4,665.60 / $13,611.89	Professional		$3,265.92	$4,665.60	$13,611.89