Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,645.63 / $5,063.00 / $7,421.00	Facility		$1,645.63	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,408.32 / $1,645.63 / $3,510.72	Professional		$1,408.32	$1,645.63	$3,510.72
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 $1,542.37 / $2,321.78 / $4,388.66	Professional		$1,542.37	$2,321.78	$4,388.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,584.14 / $3,040.17 / $3,539.61	Facility		$2,584.14	$3,040.17	$3,539.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,755.84 / $2,518.41 / $4,142.14	Professional		$1,755.84	$2,518.41	$4,142.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,571.15 / $1,999.65 / $10,794.00	Professional		$1,571.15	$1,999.65	$10,794.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,172.19 / $2,580.40 / $6,424.92	Professional		$2,172.19	$2,580.40	$6,424.92
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 $1,543.14 / $2,323.61 / $3,562.97	Professional		$1,543.14	$2,323.61	$3,562.97