Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,370.89 / $5,045.00 / $6,915.00	Facility		$1,370.89	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.83 / $1,431.49 / $2,894.44	Professional		$1,174.83	$1,431.49	$2,894.44
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 $1,263.70 / $1,880.72 / $3,546.57	Professional		$1,263.70	$1,880.72	$3,546.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,153.92 / $2,534.03 / $2,952.48	Facility		$2,153.92	$2,534.03	$2,952.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,421.00 / $2,095.92 / $3,455.04	Professional		$1,421.00	$2,095.92	$3,455.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,310.53 / $1,667.95 / $3,422.35	Professional		$1,310.53	$1,667.95	$3,422.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,943.59 / $2,153.05 / $2,358.96	Professional		$1,943.59	$2,153.05	$2,358.96
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 $1,284.27 / $1,863.02 / $2,959.96	Professional		$1,284.27	$1,863.02	$2,959.96