Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,908.98 / $5,045.00 / $6,915.00	Facility		$1,908.98	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,183.98 / $1,456.26 / $3,483.25	Professional		$1,183.98	$1,456.26	$3,483.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,406.20 / $4,415.29 / $8,702.00	Facility		$1,406.20	$4,415.29	$8,702.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,279.20 / $2,000.16 / $3,693.47	Professional		$1,279.20	$2,000.16	$3,693.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,173.50 / $2,557.07 / $2,975.45	Facility		$2,173.50	$2,557.07	$2,975.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,437.25 / $2,119.48 / $3,481.92	Professional		$1,437.25	$2,119.48	$3,481.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,320.73 / $1,680.92 / $4,150.54	Professional		$1,320.73	$1,680.92	$4,150.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,827.32 / $2,169.83 / $5,405.74	Professional		$1,827.32	$2,169.83	$5,405.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,193.00 / $18,613.00	Facility		$1,998.00	$9,193.00	$18,613.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,298.70 / $1,857.14 / $2,914.86	Professional		$1,298.70	$1,857.14	$2,914.86