Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,657.50 / $5,060.00 / $9,771.39	Facility		$3,657.50	$5,060.00	$9,771.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,657.50 / $4,785.00 / $6,144.60	Professional		$3,657.50	$4,785.00	$6,144.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,840.00 / $7,052.26 / $18,839.70	Facility		$4,840.00	$7,052.26	$18,839.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,200.00 / $5,500.00 / $8,807.70	Professional		$2,200.00	$5,500.00	$8,807.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,445.00 / $7,895.25 / $11,702.90	Facility		$5,445.00	$7,895.25	$11,702.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,428.55 / $8,937.50 / $17,020.57	Facility		$5,428.55	$8,937.50	$17,020.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,610.38 / $4,888.93 / $16,285.66	Professional		$2,610.38	$4,888.93	$16,285.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,445.00 / $7,078.50 / $42,867.92	Professional		$5,445.00	$7,078.50	$42,867.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6,655.00 / $7,755.00 / $10,007.76	Professional		$6,655.00	$7,755.00	$10,007.76
United Facility/Professional Facility Modifier Low / Median / High Price $4,950.00 / $4,950.00 / $4,950.00	Facility		$4,950.00	$4,950.00	$4,950.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,310.00 / $3,300.00 / $9,531.46	Professional		$2,310.00	$3,300.00	$9,531.46