Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.78 / $1,288.78 / $3,442.49	Facility		$1,288.78	$1,288.78	$3,442.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.78 / $1,511.65 / $1,860.49	Professional		$1,288.78	$1,511.65	$1,860.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.56 / $1,938.01 / $2,485.19	Facility		$55.56	$1,938.01	$2,485.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $33.47 / $1,938.01	Professional		$33.47	$33.47	$1,938.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,938.01 / $2,810.11 / $4,165.35	Facility		$1,938.01	$2,810.11	$4,165.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,519.42 / $4,263.62 / $5,975.87	Facility		$2,519.42	$4,263.62	$5,975.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,908.15 / $10,908.15 / $10,908.15	Professional		$10,908.15	$10,908.15	$10,908.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,744.21 / $2,519.41 / $15,105.24	Professional		$1,744.21	$2,519.41	$15,105.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,248.09 / $2,596.92 / $3,585.32	Professional		$2,248.09	$2,596.92	$3,585.32
United Facility/Professional Professional Modifier Low / Median / High Price $813.96 / $1,162.81 / $3,392.49	Professional		$813.96	$1,162.81	$3,392.49