Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,411.79 / $6,014.00 / $12,464.00	Facility		$2,411.79	$6,014.00	$12,464.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,477.15 / $1,786.15 / $3,532.61	Professional		$1,477.15	$1,786.15	$3,532.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $7,114.08 / $55,752.34	Facility		$1,282.27	$7,114.08	$55,752.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,610.99 / $2,351.10 / $4,230.66	Professional		$1,610.99	$2,351.10	$4,230.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,866.64 / $3,372.51 / $4,662.95	Facility		$2,866.64	$3,372.51	$4,662.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,859.26 / $2,500.00	Facility		$500.00	$1,859.26	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,653.11 / $2,603.02 / $4,207.17	Professional		$1,653.11	$2,603.02	$4,207.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,790.07 / $2,561.96 / $4,033.90	Professional		$1,790.07	$2,561.96	$4,033.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,484.69 / $2,823.01 / $3,010.58	Professional		$2,484.69	$2,823.01	$3,010.58
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 $1,460.65 / $2,219.65 / $3,766.04	Professional		$1,460.65	$2,219.65	$3,766.04