Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,669.29 / $1,669.29 / $4,458.89	Facility		$1,669.29	$1,669.29	$4,458.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,669.29 / $2,133.67 / $2,409.80	Professional		$1,669.29	$2,133.67	$2,409.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $638.40 / $2,510.21 / $3,218.95	Facility		$638.40	$2,510.21	$3,218.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $1,004.08 / $4,141.85	Professional		$304.00	$1,004.08	$4,141.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,510.21 / $3,639.80 / $5,395.18	Facility		$2,510.21	$3,639.80	$5,395.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,263.28 / $5,522.46 / $7,740.71	Facility		$3,263.28	$5,522.46	$7,740.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,116.74 / $6,074.71 / $14,129.95	Professional		$4,116.74	$6,074.71	$14,129.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,510.21 / $3,263.27 / $6,249.33	Professional		$2,510.21	$3,263.27	$6,249.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,510.21 / $3,514.29 / $4,643.89	Professional		$2,510.21	$3,514.29	$4,643.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,054.29 / $1,506.13 / $4,394.12	Professional		$1,054.29	$1,506.13	$4,394.12