Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,470.23 / $5,045.00 / $6,915.00	Facility		$1,470.23	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.21 / $1,530.94 / $3,012.08	Professional		$1,258.21	$1,530.94	$3,012.08
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 $1,343.71 / $2,018.35 / $3,725.41	Professional		$1,343.71	$2,018.35	$3,725.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,285.82 / $2,689.20 / $3,139.76	Facility		$2,285.82	$2,689.20	$3,139.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,505.48 / $2,238.86 / $3,674.19	Professional		$1,505.48	$2,238.86	$3,674.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,393.66 / $1,773.74 / $3,507.50	Professional		$1,393.66	$1,773.74	$3,507.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,932.17 / $2,261.07 / $5,561.24	Professional		$1,932.17	$2,261.07	$5,561.24
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 $1,371.85 / $1,961.75 / $3,472.07	Professional		$1,371.85	$1,961.75	$3,472.07