Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,135.99 / $5,063.00 / $7,421.00	Facility		$3,135.99	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,135.99 / $3,135.99 / $3,135.99	Professional		$3,135.99	$3,135.99	$3,135.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $790.00 / $4,492.39 / $10,649.67	Facility		$790.00	$4,492.39	$10,649.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,632.36 / $3,096.90 / $3,096.90	Professional		$2,632.36	$3,096.90	$3,096.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69,861.80 / $69,861.80 / $69,861.80	Professional		$69,861.80	$69,861.80	$69,861.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,400.00 / $1,400.00 / $1,400.00	Professional		$1,400.00	$1,400.00	$1,400.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $7.00	Professional		$7.00	$7.00	$7.00
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $2,969.00 / $9,079.00	Facility		$400.00	$2,969.00	$9,079.00