Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23,229.70 / $23,229.71 / $59,333.70	Facility		$23,229.70	$23,229.71	$59,333.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22,390.08 / $23,229.71 / $26,714.20	Professional		$22,390.08	$23,229.71	$26,714.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,004.74 / $7,133.85 / $23,323.00	Facility		$3,004.74	$7,133.85	$23,323.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23,323.00 / $26,588.22 / $26,588.22	Professional		$23,323.00	$26,588.22	$26,588.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23,789.46 / $24,489.15 / $34,284.81	Facility		$23,789.46	$24,489.15	$34,284.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,942.50 / $1,942.50 / $1,942.50	Professional		$1,942.50	$1,942.50	$1,942.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23,789.46 / $23,789.46 / $23,789.46	Facility		$23,789.46	$23,789.46	$23,789.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23,789.46 / $23,789.46 / $23,789.46	Professional		$23,789.46	$23,789.46	$23,789.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,701.61 / $21,460.80 / $30,303.31	Professional		$3,701.61	$21,460.80	$30,303.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $27.40 / $27.40	Professional		$27.40	$27.40	$27.40
United Facility/Professional Professional Modifier Low / Median / High Price $23,323.00 / $23,323.00 / $28,550.15	Professional		$23,323.00	$23,323.00	$28,550.15