Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,474.36 / $3,474.36 / $9,280.45	Facility		$3,474.36	$3,474.36	$9,280.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,474.36 / $4,440.91 / $5,015.62	Professional		$3,474.36	$4,440.91	$5,015.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.02 / $5,224.60 / $6,699.72	Facility		$139.02	$5,224.60	$6,699.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $66.20 / $5,224.60	Professional		$66.20	$66.20	$5,224.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,224.60 / $7,575.67 / $11,229.20	Facility		$5,224.60	$7,575.67	$11,229.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,805.34 / $11,494.12 / $16,110.47	Facility		$7,805.34	$11,494.12	$16,110.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,612.30 / $12,643.53 / $13,636.21	Professional		$2,612.30	$12,643.53	$13,636.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,702.14 / $6,791.98 / $12,194.64	Professional		$4,702.14	$6,791.98	$12,194.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6,321.77 / $7,314.44 / $9,665.51	Professional		$6,321.77	$7,314.44	$9,665.51
United Facility/Professional Professional Modifier Low / Median / High Price $2,194.33 / $3,134.76 / $9,145.66	Professional		$2,194.33	$3,134.76	$9,145.66