Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,802.12 / $1,802.12 / $4,813.68	Facility		$1,802.12	$1,802.12	$4,813.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,802.12 / $2,357.66 / $2,601.55	Professional		$1,802.12	$2,357.66	$2,601.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.72 / $2,709.95 / $3,475.08	Facility		$69.72	$2,709.95	$3,475.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $35.19 / $2,709.95	Professional		$33.20	$35.19	$2,709.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,793.93 / $5,311.50 / $9,755.82	Facility		$3,793.93	$5,311.50	$9,755.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,522.94 / $5,961.89 / $8,356.15	Facility		$3,522.94	$5,961.89	$8,356.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15,253.89 / $15,253.89 / $15,253.89	Professional		$15,253.89	$15,253.89	$15,253.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,438.96 / $2,980.95 / $3,793.93	Professional		$2,438.96	$2,980.95	$3,793.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,143.54 / $3,631.33 / $5,013.41	Professional		$3,143.54	$3,631.33	$5,013.41
United Facility/Professional Professional Modifier Low / Median / High Price $1,138.18 / $1,625.97 / $5,690.90	Professional		$1,138.18	$1,625.97	$5,690.90