Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,421.83 / $5,045.00 / $6,915.00	Facility		$1,421.83	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,216.95 / $1,482.35 / $2,992.45	Professional		$1,216.95	$1,482.35	$2,992.45
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 $1,247.21 / $1,954.98 / $3,586.07	Professional		$1,247.21	$1,954.98	$3,586.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,236.92 / $2,631.68 / $3,062.43	Facility		$2,236.92	$2,631.68	$3,062.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,471.70 / $2,356.19 / $3,583.70	Professional		$1,471.70	$2,356.19	$3,583.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,359.34 / $1,730.06 / $3,711.64	Professional		$1,359.34	$1,730.06	$3,711.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,844.62 / $2,230.77 / $5,557.21	Professional		$1,844.62	$2,230.77	$5,557.21
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 $1,334.39 / $1,935.53 / $3,075.77	Professional		$1,334.39	$1,935.53	$3,075.77