Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,494.40 / $5,045.00 / $6,915.00	Facility		$2,494.40	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,123.23 / $2,589.29 / $5,108.93	Professional		$2,123.23	$2,589.29	$5,108.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,406.20 / $4,415.29 / $8,702.00	Facility		$1,406.20	$4,415.29	$8,702.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,276.21 / $3,442.69 / $6,397.63	Professional		$2,276.21	$3,442.69	$6,397.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,802.62 / $4,473.68 / $5,198.96	Facility		$3,802.62	$4,473.68	$5,198.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,547.67 / $3,798.32 / $6,083.93	Professional		$2,547.67	$3,798.32	$6,083.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,307.69 / $2,937.07 / $4,985.97	Professional		$2,307.69	$2,937.07	$4,985.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,428.03 / $3,507.30 / $3,881.13	Professional		$3,428.03	$3,507.30	$3,881.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,269.00 / $3,372.00 / $8,133.00	Facility		$1,269.00	$3,372.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,344.96 / $3,353.31 / $5,934.98	Professional		$2,344.96	$3,353.31	$5,934.98