Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,942.63 / $5,063.00 / $11,445.00	Facility		$1,942.63	$5,063.00	$11,445.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,131.77 / $1,383.43 / $2,754.98	Professional		$1,131.77	$1,383.43	$2,754.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,402.00 / $5,799.60 / $21,112.96	Facility		$1,402.00	$5,799.60	$21,112.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.20 / $1,787.11 / $3,266.02	Professional		$1,258.20	$1,787.11	$3,266.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,200.38 / $2,650.31 / $3,605.19	Facility		$2,200.38	$2,650.31	$3,605.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,431.77 / $12,948.67	Facility		$1,200.00	$1,431.77	$12,948.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,301.83 / $1,981.60 / $3,210.59	Professional		$1,301.83	$1,981.60	$3,210.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,384.02 / $1,955.10 / $3,201.03	Professional		$1,384.02	$1,955.10	$3,201.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,898.41 / $2,088.61 / $2,264.75	Professional		$1,898.41	$2,088.61	$2,264.75
United Facility/Professional Facility Modifier Low / Median / High Price $3,293.00 / $9,062.00 / $17,476.00	Facility		$3,293.00	$9,062.00	$17,476.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,109.73 / $1,672.96 / $2,852.00	Professional		$1,109.73	$1,672.96	$2,852.00