Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,193.10 / $4,193.12 / $8,738.20	Facility		$4,193.10	$4,193.12	$8,738.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,041.56 / $4,193.12 / $4,193.12	Professional		$4,041.56	$4,193.12	$4,193.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,031.39 / $2,448.73 / $4,233.85	Facility		$1,031.39	$2,448.73	$4,233.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,209.96 / $4,546.76 / $4,799.35	Professional		$4,209.96	$4,546.76	$4,799.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,294.16 / $4,420.46 / $8,620.14	Facility		$4,294.16	$4,420.46	$8,620.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $4,294.16	Facility		$4,294.16	$4,294.16	$4,294.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $4,294.16	Professional		$4,294.16	$4,294.16	$4,294.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,647.78 / $6,554.00 / $10,154.00	Professional		$3,647.78	$6,554.00	$10,154.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,364.42 / $7,510.19 / $8,196.37	Professional		$5,364.42	$7,510.19	$8,196.37
United Facility/Professional Professional Modifier Low / Median / High Price $4,209.96 / $4,209.96 / $5,051.95	Professional		$4,209.96	$4,209.96	$5,051.95