Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,252.31 / $9,516.62 / $9,516.62	Facility		$4,252.31	$9,516.62	$9,516.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,440.82 / $2,500.00	Professional		$1,500.00	$2,440.82	$2,500.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,662.43 / $3,002.09 / $3,849.71	Facility		$1,662.43	$3,002.09	$3,849.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,152.00 / $1,440.00 / $4,464.00	Professional		$1,152.00	$1,440.00	$4,464.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,002.09 / $4,353.03 / $6,452.38	Facility		$3,002.09	$4,353.03	$6,452.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,902.72 / $6,604.60 / $9,256.87	Facility		$3,902.72	$6,604.60	$9,256.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,401.67 / $16,897.89 / $16,897.89	Professional		$2,401.67	$16,897.89	$16,897.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,701.88 / $3,902.72 / $23,400.32	Professional		$2,701.88	$3,902.72	$23,400.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,002.09 / $4,022.80 / $5,553.87	Professional		$3,002.09	$4,022.80	$5,553.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,260.88 / $1,801.25 / $5,255.16	Professional		$1,260.88	$1,801.25	$5,255.16