Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,949.48 / $5,063.00 / $6,915.00	Facility		$2,949.48	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,784.98 / $3,363.19 / $5,992.31	Professional		$2,784.98	$3,363.19	$5,992.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,439.08 / $7,591.82 / $21,232.89	Facility		$2,439.08	$7,591.82	$21,232.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,803.68 / $3,888.02 / $6,801.57	Professional		$2,803.68	$3,888.02	$6,801.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,507.00 / $6,009.26 / $9,228.50	Facility		$5,507.00	$6,009.26	$9,228.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,884.81 / $3,750.25 / $6,556.27	Professional		$2,884.81	$3,750.25	$6,556.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,711.18 / $4,726.68 / $5,363.98	Professional		$4,711.18	$4,726.68	$5,363.98
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 $2,747.83 / $3,915.83 / $7,715.02	Professional		$2,747.83	$3,915.83	$7,715.02