Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,468.06 / $5,045.00 / $6,915.00	Facility		$1,468.06	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,256.83 / $1,538.23 / $3,112.13	Professional		$1,256.83	$1,538.23	$3,112.13
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 $1,310.70 / $2,013.96 / $3,798.91	Professional		$1,310.70	$2,013.96	$3,798.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,306.76 / $2,713.83 / $3,160.73	Facility		$2,306.76	$2,713.83	$3,160.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,534.15 / $2,212.30 / $3,698.75	Professional		$1,534.15	$2,212.30	$3,698.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,402.97 / $1,785.60 / $3,120.64	Professional		$1,402.97	$1,785.60	$3,120.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,275.43 / $2,276.17 / $2,497.57	Professional		$1,275.43	$2,276.17	$2,497.57
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 $1,375.13 / $2,001.06 / $3,084.37	Professional		$1,375.13	$2,001.06	$3,084.37