Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,575.55 / $2,575.55 / $6,950.21	Facility		$2,575.55	$2,575.55	$6,950.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,575.55 / $3,650.00 / $3,873.00	Professional		$2,575.55	$3,650.00	$3,873.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $951.51 / $3,950.46 / $4,966.51	Facility		$951.51	$3,950.46	$4,966.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $458.56 / $573.20 / $3,873.00	Professional		$458.56	$573.20	$3,873.00
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 / $6,293.63 / $11,942.28	Facility		$3,861.23	$6,293.63	$11,942.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,763.89 / $3,516.66 / $99,999.77	Professional		$1,763.89	$3,516.66	$99,999.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,485.70 / $5,034.89 / $30,188.70	Professional		$3,485.70	$5,034.89	$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 / $7,037.63	Professional		$1,626.66	$2,323.80	$7,037.63