Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,669.29 / $4,623.93 / $7,957.37	Facility		$1,669.29	$4,623.93	$7,957.37
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 $1,634.74 / $2,736.00 / $7,647.61	Facility		$1,634.74	$2,736.00	$7,647.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,125.00 / $1,500.00 / $4,794.50	Professional		$1,125.00	$1,500.00	$4,794.50
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 $2,231.30 / $14,129.95 / $14,129.95	Professional		$2,231.30	$14,129.95	$14,129.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,259.19 / $3,263.27 / $19,565.53	Professional		$2,259.19	$3,263.27	$19,565.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,911.84 / $3,363.68 / $4,643.89	Professional		$2,911.84	$3,363.68	$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