Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.29 / $1,628.29 / $4,349.38	Facility		$1,628.29	$1,628.29	$4,349.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,628.29 / $2,081.28 / $2,350.62	Professional		$1,628.29	$2,081.28	$2,350.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $2,448.56 / $3,139.89	Facility		$19.05	$2,448.56	$3,139.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $10.46 / $3,026.42	Professional		$9.07	$10.46	$3,026.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,448.56 / $3,550.41 / $5,262.67	Facility		$2,448.56	$3,550.41	$5,262.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,658.04 / $5,386.83 / $7,550.55	Facility		$3,658.04	$5,386.83	$7,550.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,203.69 / $2,693.42 / $3,427.98	Professional		$2,203.69	$2,693.42	$3,427.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,840.33 / $3,281.07 / $4,529.84	Professional		$2,840.33	$3,281.07	$4,529.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,028.40 / $1,469.14 / $4,286.20	Professional		$1,028.40	$1,469.14	$4,286.20