Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,461.90 / $1,461.90 / $3,904.94	Facility		$1,461.90	$1,461.90	$3,904.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,461.90 / $1,912.56 / $2,110.42	Professional		$1,461.90	$1,912.56	$2,110.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,081.08 / $2,198.35 / $2,819.04	Facility		$1,081.08	$2,198.35	$2,819.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $514.79 / $545.67 / $2,198.35	Professional		$514.79	$545.67	$2,198.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,077.69 / $4,308.77 / $7,914.06	Facility		$3,077.69	$4,308.77	$7,914.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,857.86 / $4,836.37 / $6,778.35	Facility		$2,857.86	$4,836.37	$6,778.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12,372.98 / $12,372.98 / $12,372.98	Professional		$12,372.98	$12,372.98	$12,372.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,978.52 / $2,418.19 / $3,077.69	Professional		$1,978.52	$2,418.19	$3,077.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,550.09 / $2,945.79 / $4,066.95	Professional		$2,550.09	$2,945.79	$4,066.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,978.52 / $1,978.52 / $1,978.52	Facility		$1,978.52	$1,978.52	$1,978.52
United Facility/Professional Professional Modifier Low / Median / High Price $923.31 / $1,319.01 / $4,527.28	Professional		$923.31	$1,319.01	$4,527.28