Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,176.29 / $5,045.00 / $6,915.00	Facility		$2,176.29	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,860.52 / $2,265.56 / $4,597.70	Professional		$1,860.52	$2,265.56	$4,597.70
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 $2,039.74 / $3,035.08 / $5,639.92	Professional		$2,039.74	$3,035.08	$5,639.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,421.53 / $4,025.33 / $4,679.64	Facility		$3,421.53	$4,025.33	$4,679.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,292.79 / $3,332.83 / $5,476.20	Professional		$2,292.79	$3,332.83	$5,476.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,077.19 / $2,643.69 / $4,410.82	Professional		$2,077.19	$2,643.69	$4,410.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,084.67 / $3,155.81 / $3,493.45	Professional		$3,084.67	$3,155.81	$3,493.45
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 $2,042.17 / $2,975.36 / $5,166.13	Professional		$2,042.17	$2,975.36	$5,166.13