Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,712.14 / $1,712.14 / $4,573.34	Facility		$1,712.14	$1,712.14	$4,573.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,712.14 / $2,188.44 / $2,471.66	Professional		$1,712.14	$2,188.44	$2,471.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.72 / $2,574.65 / $3,301.58	Facility		$69.72	$2,574.65	$3,301.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $33.20 / $2,574.65	Professional		$33.20	$33.20	$2,574.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,574.65 / $3,733.24 / $5,533.68	Facility		$2,574.65	$3,733.24	$5,533.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,846.42 / $5,664.23 / $7,939.23	Facility		$3,846.42	$5,664.23	$7,939.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,287.33 / $6,230.65 / $6,719.84	Professional		$1,287.33	$6,230.65	$6,719.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,317.19 / $3,347.05 / $6,009.74	Professional		$2,317.19	$3,347.05	$6,009.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,115.33 / $3,604.51 / $4,763.10	Professional		$3,115.33	$3,604.51	$4,763.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,081.34 / $1,544.79 / $4,506.92	Professional		$1,081.34	$1,544.79	$4,506.92