Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,845.14 / $4,829.00 / $6,915.00	Facility		$1,845.14	$4,829.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,051.10 / $1,289.40 / $2,516.88	Professional		$1,051.10	$1,289.40	$2,516.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,402.00 / $5,435.54 / $12,227.65	Facility		$1,402.00	$5,435.54	$12,227.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,166.56 / $1,770.13 / $3,035.79	Professional		$1,166.56	$1,770.13	$3,035.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,037.41 / $2,445.44 / $3,326.51	Facility		$2,037.41	$2,445.44	$3,326.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,322.60 / $6,122.06	Facility		$1,200.00	$1,322.60	$6,122.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,251.47 / $1,873.59 / $2,987.39	Professional		$1,251.47	$1,873.59	$2,987.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,277.02 / $1,961.97 / $2,900.22	Professional		$1,277.02	$1,961.97	$2,900.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,520.31 / $1,602.82 / $2,053.15	Professional		$1,520.31	$1,602.82	$2,053.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,034.08 / $1,684.84 / $2,730.43	Professional		$1,034.08	$1,684.84	$2,730.43