Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,641.01 / $3,641.01 / $9,725.61	Facility		$3,641.01	$3,641.01	$9,725.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,641.01 / $4,763.42 / $5,256.19	Professional		$3,641.01	$4,763.42	$5,256.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.02 / $5,475.20 / $7,021.07	Facility		$139.02	$5,475.20	$7,021.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $70.17 / $5,475.20	Professional		$66.20	$70.17	$5,475.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,475.20 / $7,939.04 / $11,767.82	Facility		$5,475.20	$7,939.04	$11,767.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,117.76 / $12,045.44 / $16,882.64	Facility		$7,117.76	$12,045.44	$16,882.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30,817.52 / $30,817.52 / $30,817.52	Professional		$30,817.52	$30,817.52	$30,817.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,927.68 / $6,022.72 / $7,665.28	Professional		$4,927.68	$6,022.72	$7,665.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6,351.23 / $7,336.77 / $10,129.12	Professional		$6,351.23	$7,336.77	$10,129.12
United Facility/Professional Professional Modifier Low / Median / High Price $2,299.58 / $3,285.12 / $9,584.34	Professional		$2,299.58	$3,285.12	$9,584.34