Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,854.35 / $4,854.35 / $9,242.42	Facility		$4,854.35	$4,854.35	$9,242.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,678.89 / $4,854.35 / $5,582.51	Professional		$4,678.89	$4,854.35	$5,582.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,166.29 / $8,410.71 / $18,960.28	Facility		$5,166.29	$8,410.71	$18,960.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,873.85 / $5,166.29 / $5,556.20	Professional		$4,873.85	$5,166.29	$5,556.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,941.24 / $5,941.24 / $11,439.71	Facility		$5,941.24	$5,941.24	$11,439.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,971.34 / $4,971.34 / $5,244.99	Facility		$4,971.34	$4,971.34	$5,244.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,971.34 / $4,971.34 / $4,971.34	Professional		$4,971.34	$4,971.34	$4,971.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,119.79 / $5,071.35 / $10,812.35	Professional		$4,119.79	$5,071.35	$10,812.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,769.70 / $5,485.10 / $11,624.20	Professional		$4,769.70	$5,485.10	$11,624.20
United Facility/Professional Professional Modifier Low / Median / High Price $4,873.85 / $5,166.29 / $6,238.54	Professional		$4,873.85	$5,166.29	$6,238.54