Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,553.45 / $5,045.00 / $6,915.00	Facility		$1,553.45	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,464.81 / $1,761.67 / $3,128.48	Professional		$1,464.81	$1,761.67	$3,128.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $3,514.57 / $6,339.18	Facility		$1,206.01	$3,514.57	$6,339.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,474.10 / $2,044.30 / $3,578.21	Professional		$1,474.10	$2,044.30	$3,578.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,906.33 / $3,154.26 / $4,844.04	Facility		$2,906.33	$3,154.26	$4,844.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,522.47 / $1,979.21 / $3,659.86	Professional		$1,522.47	$1,979.21	$3,659.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,472.91 / $2,482.59 / $2,836.75	Professional		$2,472.91	$2,482.59	$2,836.75
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,629.00 / $10,000.00	Facility		$607.00	$3,629.00	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,506.95 / $2,122.19 / $4,058.76	Professional		$1,506.95	$2,122.19	$4,058.76