Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,753.06 / $5,045.00 / $6,915.00	Facility		$1,753.06	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,508.69 / $1,811.87 / $3,725.03	Professional		$1,508.69	$1,811.87	$3,725.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,538.99 / $5,012.33 / $10,649.67	Facility		$1,538.99	$5,012.33	$10,649.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,525.01 / $2,390.96 / $4,420.76	Professional		$1,525.01	$2,390.96	$4,420.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,700.72 / $3,177.32 / $3,729.48	Facility		$2,700.72	$3,177.32	$3,729.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,720.89 / $2,816.55 / $4,364.31	Professional		$1,720.89	$2,816.55	$4,364.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,655.42 / $2,106.90 / $3,952.72	Professional		$1,655.42	$2,106.90	$3,952.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,504.93 / $2,528.29 / $2,868.84	Professional		$1,504.93	$2,528.29	$2,868.84
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 $1,627.07 / $2,291.79 / $4,118.02	Professional		$1,627.07	$2,291.79	$4,118.02