Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,360.14 / $5,045.00 / $6,915.00	Facility		$1,360.14	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,165.56 / $1,419.97 / $2,884.59	Professional		$1,165.56	$1,419.97	$2,884.59
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 $1,273.99 / $1,865.95 / $3,520.55	Professional		$1,273.99	$1,865.95	$3,520.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,137.73 / $2,514.98 / $2,930.43	Facility		$2,137.73	$2,514.98	$2,930.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,442.26 / $2,099.80 / $3,429.25	Professional		$1,442.26	$2,099.80	$3,429.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,300.75 / $1,655.50 / $3,416.26	Professional		$1,300.75	$1,655.50	$3,416.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,797.37 / $2,135.69 / $5,312.88	Professional		$1,797.37	$2,135.69	$5,312.88
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 $1,274.17 / $1,853.71 / $2,858.93	Professional		$1,274.17	$1,853.71	$2,858.93