Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.00 / $5,664.00 / $9,023.00	Facility		$1,791.00	$5,664.00	$9,023.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,232.96 / $1,459.11 / $2,867.58	Professional		$1,232.96	$1,459.11	$2,867.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $3,514.57 / $6,339.18	Facility		$1,206.01	$3,514.57	$6,339.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,227.93 / $1,834.78 / $3,369.24	Professional		$1,227.93	$1,834.78	$3,369.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,168.81 / $2,551.55 / $3,028.85	Facility		$2,168.81	$2,551.55	$3,028.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,315.50 / $2,110.61 / $3,544.42	Professional		$1,315.50	$2,110.61	$3,544.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,344.43 / $1,711.09 / $3,209.48	Professional		$1,344.43	$1,711.09	$3,209.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,799.84 / $2,532.35 / $5,512.84	Professional		$1,799.84	$2,532.35	$5,512.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,689.00 / $8,836.00	Facility		$1,519.00	$6,689.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,311.91 / $1,709.98 / $2,935.99	Professional		$1,311.91	$1,709.98	$2,935.99