Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,682.86 / $5,045.00 / $6,915.00	Facility		$1,682.86	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,439.69 / $1,682.86 / $3,696.46	Professional		$1,439.69	$1,682.86	$3,696.46
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 $1,546.58 / $2,317.79 / $4,352.39	Professional		$1,546.58	$2,317.79	$4,352.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,642.66 / $3,109.01 / $3,618.41	Facility		$2,642.66	$3,109.01	$3,618.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,740.95 / $2,575.50 / $4,234.35	Professional		$1,740.95	$2,575.50	$4,234.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,606.13 / $2,044.17 / $4,584.83	Professional		$1,606.13	$2,044.17	$4,584.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,382.91 / $2,636.36 / $2,891.04	Professional		$2,382.91	$2,636.36	$2,891.04
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 $1,578.12 / $2,302.89 / $3,976.73	Professional		$1,578.12	$2,302.89	$3,976.73