Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $743.46 / $3,521.64 / $3,544.00	Facility		$743.46	$3,521.64	$3,544.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $743.46 / $1,028.54 / $1,073.26	Professional		$743.46	$1,028.54	$1,073.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $556.65 / $1,482.36 / $2,236.34	Facility		$556.65	$1,482.36	$2,236.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.49 / $335.33 / $2,437.19	Professional		$251.49	$335.33	$2,437.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,743.95 / $2,528.73 / $3,748.26	Facility		$1,743.95	$2,528.73	$3,748.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,267.14 / $3,836.69 / $5,377.12	Facility		$2,267.14	$3,836.69	$5,377.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $894.38 / $9,815.40 / $9,815.40	Professional		$894.38	$9,815.40	$9,815.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,569.56 / $1,918.35 / $2,441.53	Professional		$1,569.56	$1,918.35	$2,441.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,022.98 / $2,336.89 / $3,226.31	Professional		$2,022.98	$2,336.89	$3,226.31
United Facility/Professional Professional Modifier Low / Median / High Price $469.55 / $670.79 / $3,168.93	Professional		$469.55	$670.79	$3,168.93