Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,481.64 / $4,481.64 / $11,971.10	Facility		$4,481.64	$4,481.64	$11,971.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,481.64 / $5,728.43 / $6,469.76	Professional		$4,481.64	$5,728.43	$6,469.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $896.45 / $6,739.33 / $8,642.12	Facility		$896.45	$6,739.33	$8,642.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.88 / $492.44 / $8,329.81	Professional		$426.88	$492.44	$8,329.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,739.33 / $9,772.03 / $14,484.80	Facility		$6,739.33	$9,772.03	$14,484.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,068.28 / $14,826.53 / $20,781.22	Facility		$10,068.28	$14,826.53	$20,781.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,065.40 / $7,413.26 / $9,435.06	Professional		$6,065.40	$7,413.26	$9,435.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7,817.62 / $9,030.70 / $12,467.76	Professional		$7,817.62	$9,030.70	$12,467.76
United Facility/Professional Facility Modifier Low / Median / High Price $6,065.40 / $6,065.40 / $6,065.40	Facility		$6,065.40	$6,065.40	$6,065.40
United Facility/Professional Professional Modifier Low / Median / High Price $2,830.52 / $4,043.60 / $11,797.20	Professional		$2,830.52	$4,043.60	$11,797.20