Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,515.54 / $3,532.45 / $4,198.05	Facility		$1,515.54	$3,532.45	$4,198.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,367.40 / $1,595.30 / $1,937.15	Professional		$1,367.40	$1,595.30	$1,937.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,388.24 / $2,279.00 / $2,922.46	Facility		$1,388.24	$2,279.00	$2,922.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $848.00 / $2,279.00	Professional		$800.00	$848.00	$2,279.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,279.00 / $3,304.55 / $4,898.25	Facility		$2,279.00	$3,304.55	$4,898.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,962.70 / $5,013.80 / $7,027.02	Facility		$2,962.70	$5,013.80	$7,027.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12,828.80 / $12,828.80 / $12,828.80	Professional		$12,828.80	$12,828.80	$12,828.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,051.10 / $3,603.54 / $17,762.36	Professional		$2,051.10	$3,603.54	$17,762.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,757.59 / $3,190.60 / $4,216.14	Professional		$2,757.59	$3,190.60	$4,216.14
United Facility/Professional Professional Modifier Low / Median / High Price $957.18 / $1,367.40 / $4,785.89	Professional		$957.18	$1,367.40	$4,785.89