Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,560.72 / $5,045.00 / $6,915.00	Facility		$1,560.72	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,335.94 / $1,627.77 / $3,329.51	Professional		$1,335.94	$1,627.77	$3,329.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,406.20 / $4,415.29 / $8,702.00	Facility		$1,406.20	$4,415.29	$8,702.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,378.69 / $2,142.42 / $4,008.81	Professional		$1,378.69	$2,142.42	$4,008.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,452.88 / $2,885.73 / $3,359.76	Facility		$2,452.88	$2,885.73	$3,359.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,612.53 / $2,349.38 / $3,931.66	Professional		$1,612.53	$2,349.38	$3,931.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,491.33 / $1,898.05 / $2,943.89	Professional		$1,491.33	$1,898.05	$2,943.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,209.61 / $2,445.66 / $2,684.38	Professional		$2,209.61	$2,445.66	$2,684.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,036.00 / $3,629.00 / $10,000.00	Facility		$1,036.00	$3,629.00	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,463.46 / $2,137.62 / $3,296.83	Professional		$1,463.46	$2,137.62	$3,296.83