Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,187.20 / $3,187.20 / $3,187.20	Facility		$3,187.20	$3,187.20	$3,187.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,148.80 / $3,187.20 / $3,264.00	Professional		$3,148.80	$3,187.20	$3,264.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,866.58 / $3,283.31 / $6,850.35	Facility		$1,866.58	$3,283.31	$6,850.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,456.00 / $3,648.00	Professional		$3,200.00	$3,456.00	$3,648.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,264.00 / $3,360.00 / $4,704.00	Facility		$3,264.00	$3,360.00	$4,704.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,264.00 / $3,264.00 / $3,366.00	Facility		$3,264.00	$3,264.00	$3,366.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,264.00 / $3,264.00 / $3,264.00	Professional		$3,264.00	$3,264.00	$3,264.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,264.00 / $4,279.00 / $7,507.20	Professional		$3,264.00	$4,279.00	$7,507.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,541.34 / $6,943.51 / $8,762.99	Professional		$4,541.34	$6,943.51	$8,762.99
United Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $4,012.80	Professional		$3,200.00	$3,200.00	$4,012.80