Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.29 / $4,349.38 / $7,761.94	Facility		$1,628.29	$4,349.38	$7,761.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,337.51 / $1,909.88 / $2,528.59	Professional		$1,337.51	$1,909.88	$2,528.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,625.84 / $2,658.94 / $8,472.02	Facility		$1,625.84	$2,658.94	$8,472.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $979.42 / $979.42 / $3,781.22	Professional		$979.42	$979.42	$3,781.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,448.56 / $3,550.41 / $5,262.67	Facility		$2,448.56	$3,550.41	$5,262.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,441.28 / $4,314.59 / $7,550.55	Facility		$2,441.28	$4,314.59	$7,550.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,125.17 / $2,107.31 / $7,323.85	Professional		$1,125.17	$2,107.31	$7,323.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,448.56 / $3,357.99 / $19,084.13	Professional		$2,448.56	$3,357.99	$19,084.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,962.76 / $3,427.98 / $4,529.84	Professional		$2,962.76	$3,427.98	$4,529.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.69 / $2,203.69 / $2,448.56	Facility		$2,203.69	$2,203.69	$2,448.56
United Facility/Professional Professional Modifier Low / Median / High Price $1,028.40 / $1,469.14 / $4,286.20	Professional		$1,028.40	$1,469.14	$4,286.20