Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $6,014.00 / $14,490.00	Facility		$2,800.00	$6,014.00	$14,490.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,725.14 / $2,080.17 / $4,751.62	Professional		$1,725.14	$2,080.17	$4,751.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,452.00 / $13,165.98 / $55,752.34	Facility		$2,452.00	$13,165.98	$55,752.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,942.70 / $2,907.00 / $4,989.22	Professional		$1,942.70	$2,907.00	$4,989.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,602.23 / $2,602.23 / $2,602.23	Facility		$2,602.23	$2,602.23	$2,602.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,326.28 / $2,500.00	Facility		$500.00	$2,326.28	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,900.32 / $2,830.33 / $5,200.39	Professional		$1,900.32	$2,830.33	$5,200.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,266.63 / $3,296.91 / $8,443.00	Professional		$2,266.63	$3,296.91	$8,443.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,060.57 / $2,987.83 / $3,709.03	Professional		$2,060.57	$2,987.83	$3,709.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,303.00 / $10,133.00 / $20,037.00	Facility		$2,303.00	$10,133.00	$20,037.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,686.35 / $2,497.59 / $4,691.18	Professional		$1,686.35	$2,497.59	$4,691.18