Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,575.55 / $4,996.17 / $12,277.40	Facility		$2,575.55	$4,996.17	$12,277.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,575.55 / $3,369.51 / $4,326.92	Professional		$2,575.55	$3,369.51	$4,326.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,571.67 / $4,205.78 / $13,400.58	Facility		$2,571.67	$4,205.78	$13,400.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,549.20 / $1,549.20 / $6,196.80	Professional		$1,549.20	$1,549.20	$6,196.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,873.00 / $5,615.85 / $8,324.21	Facility		$3,873.00	$5,615.85	$8,324.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,861.23 / $6,824.17 / $11,942.28	Facility		$3,861.23	$6,824.17	$11,942.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,766.14 / $3,336.84 / $11,583.68	Professional		$1,766.14	$3,336.84	$11,583.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,873.00 / $5,312.28 / $30,188.70	Professional		$3,873.00	$5,312.28	$30,188.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,686.33 / $5,422.20 / $7,165.05	Professional		$4,686.33	$5,422.20	$7,165.05
United Facility/Professional Professional Modifier Low / Median / High Price $1,626.66 / $2,323.80 / $6,779.69	Professional		$1,626.66	$2,323.80	$6,779.69