Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,825.07 / $5,045.00 / $6,915.00	Facility		$1,825.07	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,560.34 / $1,901.34 / $3,891.14	Professional		$1,560.34	$1,901.34	$3,891.14
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 $1,709.49 / $2,512.15 / $4,721.04	Professional		$1,709.49	$2,512.15	$4,721.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,867.69 / $3,373.76 / $3,924.99	Facility		$2,867.69	$3,373.76	$3,924.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,895.89 / $2,795.23 / $4,593.10	Professional		$1,895.89	$2,795.23	$4,593.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,742.21 / $2,217.36 / $3,742.64	Professional		$1,742.21	$2,217.36	$3,742.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,585.94 / $2,859.79 / $3,135.98	Professional		$2,585.94	$2,859.79	$3,135.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,036.00 / $3,629.00 / $10,000.00	Facility		$1,036.00	$3,629.00	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,712.25 / $2,477.15 / $3,946.46	Professional		$1,712.25	$2,477.15	$3,946.46