Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,035.76 / $6,035.76 / $6,035.76	Facility		$6,035.76	$6,035.76	$6,035.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,817.60 / $6,035.76 / $6,941.12	Professional		$5,817.60	$6,035.76	$6,941.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,110.63 / $3,712.60 / $7,746.01	Facility		$2,110.63	$3,712.60	$7,746.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,817.60 / $6,908.40 / $6,908.40	Professional		$5,817.60	$6,908.40	$6,908.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,181.20 / $6,363.00 / $8,908.20	Facility		$6,181.20	$6,363.00	$8,908.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $635.50 / $635.50 / $635.50	Professional		$635.50	$635.50	$635.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,301.26 / $6,181.20 / $6,181.20	Facility		$5,301.26	$6,181.20	$6,181.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,181.20 / $6,181.20 / $6,181.20	Professional		$6,181.20	$6,181.20	$6,181.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,131.34 / $4,777.27 / $6,511.88	Professional		$1,131.34	$4,777.27	$6,511.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $2,007.60 / $2,419.10	Professional		$27.40	$2,007.60	$2,419.10
United Facility/Professional Professional Modifier Low / Median / High Price $6,060.00 / $6,423.60 / $7,575.00	Professional		$6,060.00	$6,423.60	$7,575.00