Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,072.14 / $5,534.95 / $9,877.71	Facility		$2,072.14	$5,534.95	$9,877.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,072.14 / $2,710.92 / $3,481.19	Professional		$2,072.14	$2,710.92	$3,481.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,029.25 / $3,443.18 / $10,781.36	Facility		$2,029.25	$3,443.18	$10,781.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $997.12 / $1,246.40 / $3,863.84	Professional		$997.12	$1,246.40	$3,863.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,116.00 / $4,518.20 / $6,697.19	Facility		$3,116.00	$4,518.20	$6,697.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,031.72 / $5,063.50 / $9,607.95	Facility		$2,031.72	$5,063.50	$9,607.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,553.30 / $4,185.77 / $12,064.08	Professional		$1,553.30	$4,185.77	$12,064.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,804.40 / $4,050.80 / $24,286.91	Professional		$2,804.40	$4,050.80	$24,286.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,770.36 / $4,362.39 / $5,764.60	Professional		$3,770.36	$4,362.39	$5,764.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,308.72 / $1,869.60 / $5,454.56	Professional		$1,308.72	$1,869.60	$5,454.56