Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,781.79 / $2,781.79 / $7,430.51	Facility		$2,781.79	$2,781.79	$7,430.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,781.79 / $3,555.66 / $4,015.81	Professional		$2,781.79	$3,555.66	$4,015.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.80 / $4,183.13 / $5,364.20	Facility		$436.80	$4,183.13	$5,364.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $208.00 / $4,183.13	Professional		$208.00	$208.00	$4,183.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,183.13 / $6,065.54 / $8,990.79	Facility		$4,183.13	$6,065.54	$8,990.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,249.42 / $9,202.89 / $13,142.29	Facility		$6,249.42	$9,202.89	$13,142.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,764.82 / $4,601.43 / $5,856.38	Professional		$3,764.82	$4,601.43	$5,856.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,852.43 / $5,605.39 / $7,738.79	Professional		$4,852.43	$5,605.39	$7,738.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,756.91 / $2,509.88 / $7,642.58	Professional		$1,756.91	$2,509.88	$7,642.58