Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,210.46 / $5,904.42 / $10,537.10	Facility		$2,210.46	$5,904.42	$10,537.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,994.40 / $2,659.20 / $3,713.57	Professional		$1,994.40	$2,659.20	$3,713.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,164.71 / $3,673.02 / $11,501.04	Facility		$2,164.71	$3,673.02	$11,501.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $997.20 / $1,329.60 / $4,121.76	Professional		$997.20	$1,329.60	$4,121.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,501.31 / $4,653.60 / $6,515.04	Facility		$2,501.31	$4,653.60	$6,515.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,761.72 / $7,312.80 / $9,224.59	Facility		$1,761.72	$7,312.80	$9,224.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,656.96 / $4,465.16 / $9,941.86	Professional		$1,656.96	$4,465.16	$9,941.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,324.00 / $4,321.20 / $25,907.88	Professional		$3,324.00	$4,321.20	$25,907.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,022.04 / $4,653.60 / $6,149.40	Professional		$4,022.04	$4,653.60	$6,149.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,396.08 / $1,994.40 / $4,819.80	Professional		$1,396.08	$1,994.40	$4,819.80