Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,760.52 / $5,063.00 / $7,391.00	Facility		$1,760.52	$5,063.00	$7,391.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,272.47 / $1,616.03 / $3,164.16	Professional		$1,272.47	$1,616.03	$3,164.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,185.65 / $3,640.00 / $8,094.63	Facility		$1,185.65	$3,640.00	$8,094.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,232.26 / $1,748.76 / $3,203.87	Professional		$1,232.26	$1,748.76	$3,203.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,218.02 / $2,688.80 / $74,999.25	Facility		$2,218.02	$2,688.80	$74,999.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,628.10 / $1,628.10 / $1,628.10	Professional		$1,628.10	$1,628.10	$1,628.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,404.12 / $2,055.00 / $10,333.06	Professional		$1,404.12	$2,055.00	$10,333.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,653.61 / $1,901.94 / $2,112.59	Professional		$1,653.61	$1,901.94	$2,112.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,250.00 / $7,299.00 / $11,889.00	Facility		$1,250.00	$7,299.00	$11,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,238.22 / $1,625.58 / $2,842.19	Professional		$1,238.22	$1,625.58	$2,842.19