Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,941.54 / $1,941.54 / $5,186.09	Facility		$1,941.54	$1,941.54	$5,186.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,941.54 / $2,481.66 / $2,802.82	Professional		$1,941.54	$2,481.66	$2,802.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.80 / $2,919.60 / $3,743.92	Facility		$436.80	$2,919.60	$3,743.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $208.00 / $2,919.60	Professional		$208.00	$208.00	$2,919.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,919.60 / $4,233.42 / $6,275.09	Facility		$2,919.60	$4,233.42	$6,275.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,361.77 / $6,423.12 / $9,172.35	Facility		$4,361.77	$6,423.12	$9,172.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,627.64 / $3,211.56 / $4,087.44	Professional		$2,627.64	$3,211.56	$4,087.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,386.74 / $3,912.26 / $5,401.26	Professional		$3,386.74	$3,912.26	$5,401.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,226.23 / $1,751.76 / $5,110.76	Professional		$1,226.23	$1,751.76	$5,110.76