Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,712.14 / $1,712.14 / $4,573.34	Facility		$1,712.14	$1,712.14	$4,573.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,712.14 / $2,188.44 / $2,471.66	Professional		$1,712.14	$2,188.44	$2,471.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,930.99 / $2,844.99 / $4,800.00	Facility		$1,930.99	$2,844.99	$4,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,574.65 / $4,800.00 / $4,800.00	Professional		$2,574.65	$4,800.00	$4,800.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,604.51 / $5,046.31 / $9,268.74	Facility		$3,604.51	$5,046.31	$9,268.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,347.04 / $5,664.23 / $7,939.23	Facility		$3,347.04	$5,664.23	$7,939.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14,492.26 / $14,492.26 / $14,492.26	Professional		$14,492.26	$14,492.26	$14,492.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,317.19 / $2,832.12 / $3,604.51	Professional		$2,317.19	$2,832.12	$3,604.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,986.59 / $3,450.03 / $4,763.10	Professional		$2,986.59	$3,450.03	$4,763.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,081.34 / $1,544.79 / $4,506.92	Professional		$1,081.34	$1,544.79	$4,506.92