Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,000.45 / $4,000.45 / $4,000.45	Facility		$4,000.45	$4,000.45	$4,000.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,855.86 / $4,000.45 / $4,600.52	Professional		$3,855.86	$4,000.45	$4,600.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,819.82 / $5,399.80 / $5,507.79	Professional		$4,819.82	$5,399.80	$5,507.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,542.79 / $5,542.79 / $6,506.76	Facility		$5,542.79	$5,542.79	$6,506.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6,906.06 / $6,906.06 / $6,906.06	Professional		$6,906.06	$6,906.06	$6,906.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,819.82 / $4,819.82 / $4,819.82	Facility		$4,819.82	$4,819.82	$4,819.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,819.82 / $4,819.82 / $5,684.00	Professional		$4,819.82	$4,819.82	$5,684.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,803.28 / $1,803.28 / $14,459.46	Professional		$1,803.28	$1,803.28	$14,459.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7,711.70 / $8,097.30 / $9,350.50	Professional		$7,711.70	$8,097.30	$9,350.50
United Facility/Professional Professional Modifier Low / Median / High Price $5,684.00 / $5,684.00 / $7,161.84	Professional		$5,684.00	$5,684.00	$7,161.84