Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,579.17 / $2,579.17 / $6,889.29	Facility		$2,579.17	$2,579.17	$6,889.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,579.17 / $3,296.69 / $3,723.32	Professional		$2,579.17	$3,296.69	$3,723.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $502.24 / $3,878.45 / $4,973.50	Facility		$502.24	$3,878.45	$4,973.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.16 / $239.16 / $3,878.45	Professional		$239.16	$239.16	$3,878.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,878.45 / $5,623.75 / $8,335.93	Facility		$3,878.45	$5,623.75	$8,335.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,794.24 / $8,532.59 / $12,185.53	Facility		$5,794.24	$8,532.59	$12,185.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,490.61 / $4,266.30 / $5,429.83	Professional		$3,490.61	$4,266.30	$5,429.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,499.00 / $5,197.12 / $7,175.13	Professional		$4,499.00	$5,197.12	$7,175.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,628.95 / $2,327.07 / $6,789.23	Professional		$1,628.95	$2,327.07	$6,789.23