Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,425.49 / $3,846.91 / $6,795.21	Facility		$1,425.49	$3,846.91	$6,795.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,286.16 / $1,714.88 / $2,057.86	Professional		$1,286.16	$1,714.88	$2,057.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,395.99 / $2,368.67 / $7,416.86	Facility		$1,395.99	$2,368.67	$7,416.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $643.08 / $857.44 / $2,658.06	Professional		$643.08	$857.44	$2,658.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,628.42 / $3,001.04 / $4,201.46	Facility		$1,628.42	$3,001.04	$4,201.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,136.10 / $3,483.35 / $4,715.92	Facility		$1,136.10	$3,483.35	$4,715.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $976.34 / $1,399.85 / $5,594.80	Professional		$976.34	$1,399.85	$5,594.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,143.60 / $2,786.68 / $16,707.15	Professional		$2,143.60	$2,786.68	$16,707.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,593.76 / $3,001.04 / $3,965.66	Professional		$2,593.76	$3,001.04	$3,965.66
United Facility/Professional Professional Modifier Low / Median / High Price $301.05 / $900.31 / $3,030.41	Professional		$301.05	$900.31	$3,030.41