Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,442.92 / $6,014.00 / $12,464.00	Facility		$2,442.92	$6,014.00	$12,464.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,642.59 / $1,982.88 / $3,960.71	Professional		$1,642.59	$1,982.88	$3,960.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $8,102.00 / $55,752.34	Facility		$1,282.27	$8,102.00	$55,752.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,843.40 / $2,636.07 / $4,769.30	Professional		$1,843.40	$2,636.07	$4,769.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,850.07 / $2,850.07 / $2,850.07	Facility		$2,850.07	$2,850.07	$2,850.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,083.80 / $2,500.00	Facility		$500.00	$2,083.80	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,921.86 / $2,941.29 / $4,687.41	Professional		$1,921.86	$2,941.29	$4,687.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,999.11 / $3,071.36 / $4,586.68	Professional		$1,999.11	$3,071.36	$4,586.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,817.37 / $2,635.19 / $3,271.27	Professional		$1,817.37	$2,635.19	$3,271.27
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 $1,630.44 / $2,486.96 / $4,209.04	Professional		$1,630.44	$2,486.96	$4,209.04