Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,413.92 / $1,413.92 / $3,776.78	Facility		$1,413.92	$1,413.92	$3,776.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,413.92 / $1,807.27 / $2,041.15	Professional		$1,413.92	$1,807.27	$2,041.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.42 / $2,126.19 / $2,726.51	Facility		$44.42	$2,126.19	$2,726.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.15 / $21.15 / $2,126.19	Professional		$21.15	$21.15	$2,126.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,126.19 / $3,082.99 / $4,569.83	Facility		$2,126.19	$3,082.99	$4,569.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,176.46 / $4,677.64 / $6,555.78	Facility		$3,176.46	$4,677.64	$6,555.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,063.09 / $5,145.39 / $5,549.38	Professional		$1,063.09	$5,145.39	$5,549.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,913.58 / $2,764.06 / $4,962.57	Professional		$1,913.58	$2,764.06	$4,962.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,572.69 / $2,976.68 / $3,933.47	Professional		$2,572.69	$2,976.68	$3,933.47
United Facility/Professional Facility Modifier Low / Median / High Price $2,657.75 / $2,657.75 / $2,657.75	Facility		$2,657.75	$2,657.75	$2,657.75
United Facility/Professional Professional Modifier Low / Median / High Price $893.00 / $1,275.72 / $3,721.91	Professional		$893.00	$1,275.72	$3,721.91