Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,909.22 / $5,099.76 / $9,101.07	Facility		$1,909.22	$5,099.76	$9,101.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,909.22 / $2,497.77 / $3,207.49	Professional		$1,909.22	$2,497.77	$3,207.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,869.70 / $3,172.46 / $9,933.66	Facility		$1,869.70	$3,172.46	$9,933.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $918.72 / $1,148.40 / $3,560.04	Professional		$918.72	$1,148.40	$3,560.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,871.00 / $4,162.95 / $6,170.62	Facility		$2,871.00	$4,162.95	$6,170.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,382.41 / $4,665.38 / $8,852.48	Facility		$1,382.41	$4,665.38	$8,852.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,290.46 / $3,286.04 / $11,115.79	Professional		$1,290.46	$3,286.04	$11,115.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,583.90 / $3,732.30 / $22,377.68	Professional		$2,583.90	$3,732.30	$22,377.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,473.91 / $4,019.40 / $5,311.35	Professional		$3,473.91	$4,019.40	$5,311.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,063.39 / $1,579.05 / $5,025.68	Professional		$1,063.39	$1,579.05	$5,025.68