Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,866.89 / $1,866.89 / $4,434.63	Facility		$1,866.89	$1,866.89	$4,434.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,554.79 / $1,945.72 / $2,620.19	Professional		$1,554.79	$1,945.72	$2,620.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,931.19 / $5,503.67 / $14,427.47	Facility		$3,931.19	$5,503.67	$14,427.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,963.22 / $3,268.70 / $6,275.90	Professional		$1,963.22	$3,268.70	$6,275.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,744.13 / $3,341.51 / $7,272.70	Facility		$2,744.13	$3,341.51	$7,272.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,341.51 / $3,341.51 / $3,341.51	Professional		$3,341.51	$3,341.51	$3,341.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,017.28 / $2,017.28 / $2,017.28	Facility		$2,017.28	$2,017.28	$2,017.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,472.61 / $2,017.28 / $4,290.75	Professional		$1,472.61	$2,017.28	$4,290.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,987.70 / $3,931.19 / $5,461.97	Professional		$2,987.70	$3,931.19	$5,461.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,457.61 / $4,860.24 / $7,418.15	Professional		$3,457.61	$4,860.24	$7,418.15
United Facility/Professional Professional Modifier Low / Median / High Price $1,307.48 / $1,915.81 / $3,268.70	Professional		$1,307.48	$1,915.81	$3,268.70