Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,941.53 / $1,941.53 / $5,186.09	Facility		$1,941.53	$1,941.53	$5,186.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,941.53 / $2,481.66 / $2,802.82	Professional		$1,941.53	$2,481.66	$2,802.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,901.35 / $2,919.60 / $3,743.92	Facility		$1,901.35	$2,919.60	$3,743.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,167.83 / $2,102.11 / $4,116.63	Professional		$1,167.83	$2,102.11	$4,116.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,919.60 / $4,233.42 / $6,275.09	Facility		$2,919.60	$4,233.42	$6,275.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,795.48 / $6,423.12 / $9,002.95	Facility		$3,795.48	$6,423.12	$9,002.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,788.14 / $7,065.43 / $16,434.34	Professional		$4,788.14	$7,065.43	$16,434.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,627.64 / $3,795.48 / $6,814.57	Professional		$2,627.64	$3,795.48	$6,814.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,532.72 / $4,087.44 / $5,401.26	Professional		$3,532.72	$4,087.44	$5,401.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,226.23 / $1,751.76 / $5,110.76	Professional		$1,226.23	$1,751.76	$5,110.76