Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,830.91 / $1,830.91 / $4,890.59	Facility		$1,830.91	$1,830.91	$4,890.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,651.95 / $2,147.54 / $2,643.12	Professional		$1,651.95	$2,147.54	$2,643.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $345.28 / $2,753.25 / $3,530.61	Facility		$345.28	$2,753.25	$3,530.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $208.00 / $2,753.25	Professional		$208.00	$208.00	$2,753.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,753.25 / $3,992.21 / $5,917.56	Facility		$2,753.25	$3,992.21	$5,917.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,579.22 / $6,057.15 / $8,489.92	Facility		$3,579.22	$6,057.15	$8,489.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15,497.37 / $15,497.37 / $15,497.37	Professional		$15,497.37	$15,497.37	$15,497.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,477.92 / $3,579.23 / $21,461.18	Professional		$2,477.92	$3,579.23	$21,461.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,193.77 / $3,689.36 / $5,093.51	Professional		$3,193.77	$3,689.36	$5,093.51
United Facility/Professional Professional Modifier Low / Median / High Price $1,156.36 / $1,651.95 / $4,819.56	Professional		$1,156.36	$1,651.95	$4,819.56