Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,320.60 / $2,320.60 / $6,198.64	Facility		$2,320.60	$2,320.60	$6,198.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,320.60 / $3,035.98 / $3,350.04	Professional		$2,320.60	$3,035.98	$3,350.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $3,489.63 / $4,474.89	Facility		$420.00	$3,489.63	$4,474.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $212.00 / $3,489.63	Professional		$200.00	$212.00	$3,489.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,489.63 / $5,059.96 / $7,500.23	Facility		$3,489.63	$5,059.96	$7,500.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,536.52 / $7,677.19 / $10,760.51	Facility		$4,536.52	$7,677.19	$10,760.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19,642.48 / $19,642.48 / $19,642.48	Professional		$19,642.48	$19,642.48	$19,642.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,489.63 / $3,838.59 / $4,885.47	Professional		$3,489.63	$3,838.59	$4,885.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,489.63 / $4,676.10 / $6,455.82	Professional		$3,489.63	$4,676.10	$6,455.82
United Facility/Professional Professional Modifier Low / Median / High Price $1,465.64 / $2,093.78 / $6,341.01	Professional		$1,465.64	$2,093.78	$6,341.01