Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,478.46 / $5,045.00 / $6,915.00	Facility		$1,478.46	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,265.55 / $1,542.07 / $3,133.83	Professional		$1,265.55	$1,542.07	$3,133.83
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 $1,297.15 / $2,039.69 / $3,836.80	Professional		$1,297.15	$2,039.69	$3,836.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,322.94 / $2,732.88 / $3,182.79	Facility		$2,322.94	$2,732.88	$3,182.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,534.72 / $2,260.67 / $3,824.41	Professional		$1,534.72	$2,260.67	$3,824.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.76 / $1,798.06 / $3,024.38	Professional		$1,412.76	$1,798.06	$3,024.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,952.67 / $2,317.69 / $5,768.97	Professional		$1,952.67	$2,317.69	$5,768.97
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 $1,385.22 / $2,147.09 / $3,375.57	Professional		$1,385.22	$2,147.09	$3,375.57