Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,154.60 / $5,755.21 / $10,270.79	Facility		$2,154.60	$5,755.21	$10,270.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,154.60 / $3,013.20 / $3,619.73	Professional		$2,154.60	$3,013.20	$3,619.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,110.00 / $3,580.20 / $11,210.40	Facility		$2,110.00	$3,580.20	$11,210.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,036.80 / $1,296.00 / $4,017.60	Professional		$1,036.80	$1,296.00	$4,017.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,240.00 / $4,698.00 / $6,963.72	Facility		$3,240.00	$4,698.00	$6,963.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,846.49 / $5,265.00 / $9,990.40	Facility		$1,846.49	$5,265.00	$9,990.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,456.34 / $4,085.91 / $12,544.56	Professional		$1,456.34	$4,085.91	$12,544.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,916.00 / $4,212.00 / $25,255.12	Professional		$2,916.00	$4,212.00	$25,255.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,920.40 / $4,536.00 / $5,994.00	Professional		$3,920.40	$4,536.00	$5,994.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,360.80 / $1,944.00 / $5,671.62	Professional		$1,360.80	$1,944.00	$5,671.62