Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,553.06 / $1,746.62 / $2,416.54	Facility		$1,553.06	$1,746.62	$2,416.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,553.06 / $2,416.54 / $2,804.55	Professional		$1,553.06	$2,416.54	$2,804.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,226.13 / $6,105.48 / $13,137.87	Facility		$2,226.13	$6,105.48	$13,137.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,010.52 / $1,573.05 / $2,783.94	Professional		$1,010.52	$1,573.05	$2,783.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,691.88 / $1,990.44 / $2,305.41	Facility		$1,691.88	$1,990.44	$2,305.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,116.34 / $1,302.41 / $5,342.05	Professional		$1,116.34	$1,302.41	$5,342.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,560.50 / $1,721.04 / $1,823.57	Professional		$1,560.50	$1,721.04	$1,823.57
United Facility/Professional Professional Modifier Low / Median / High Price $1,012.11 / $1,469.01 / $2,561.59	Professional		$1,012.11	$1,469.01	$2,561.59