Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,167.08 / $1,167.08 / $3,117.41	Facility		$1,167.08	$1,167.08	$3,117.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,167.08 / $1,491.75 / $1,684.80	Professional		$1,167.08	$1,491.75	$1,684.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $558.19 / $1,755.00 / $2,250.51	Facility		$558.19	$1,755.00	$2,250.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.26 / $336.26 / $1,755.00	Professional		$336.26	$336.26	$1,755.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $2,827.50 / $4,191.12	Facility		$1,950.00	$2,827.50	$4,191.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,281.50 / $4,290.00 / $5,411.60	Facility		$2,281.50	$4,290.00	$5,411.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,877.73 / $9,877.73 / $9,877.73	Professional		$9,877.73	$9,877.73	$9,877.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,755.00 / $3,082.90 / $13,680.07	Professional		$1,755.00	$3,082.90	$13,680.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,359.50 / $2,730.00 / $3,607.50	Professional		$2,359.50	$2,730.00	$3,607.50
United Facility/Professional Professional Modifier Low / Median / High Price $737.10 / $1,053.00 / $3,413.48	Professional		$737.10	$1,053.00	$3,413.48