Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,520.16 / $5,063.00 / $7,391.00	Facility		$1,520.16	$5,063.00	$7,391.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,013.37 / $1,393.82 / $2,491.60	Professional		$1,013.37	$1,393.82	$2,491.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,132.49 / $3,116.30 / $6,271.28	Facility		$1,132.49	$3,116.30	$6,271.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,063.30 / $1,508.43 / $2,767.83	Professional		$1,063.30	$1,508.43	$2,767.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,914.45 / $2,322.94 / $74,999.25	Facility		$1,914.45	$2,322.94	$74,999.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,401.73 / $1,401.73 / $1,401.73	Professional		$1,401.73	$1,401.73	$1,401.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,213.06 / $1,773.00 / $8,920.96	Professional		$1,213.06	$1,773.00	$8,920.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,428.56 / $1,643.15 / $1,831.80	Professional		$1,428.56	$1,643.15	$1,831.80
United Facility/Professional Facility Modifier Low / Median / High Price $990.00 / $6,206.00 / $8,554.00	Facility		$990.00	$6,206.00	$8,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,055.08 / $1,406.78 / $2,534.57	Professional		$1,055.08	$1,406.78	$2,534.57