Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,446.42 / $5,045.00 / $6,915.00	Facility		$2,446.42	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,090.23 / $2,576.54 / $5,237.25	Professional		$2,090.23	$2,576.54	$5,237.25
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 $2,250.52 / $3,425.60 / $6,538.01	Professional		$2,250.52	$3,425.60	$6,538.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,845.67 / $4,524.33 / $5,257.88	Facility		$3,845.67	$4,524.33	$5,257.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,539.92 / $3,751.78 / $6,152.88	Professional		$2,539.92	$3,751.78	$6,152.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,333.85 / $2,970.35 / $7,286.61	Professional		$2,333.85	$2,970.35	$7,286.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,228.45 / $3,925.11 / $9,554.50	Professional		$3,228.45	$3,925.11	$9,554.50
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 $2,298.89 / $3,306.15 / $5,165.38	Professional		$2,298.89	$3,306.15	$5,165.38