Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,903.81 / $5,045.00 / $6,915.00	Facility		$1,903.81	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,627.92 / $2,003.32 / $4,068.58	Professional		$1,627.92	$2,003.32	$4,068.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,538.99 / $5,012.33 / $10,649.67	Facility		$1,538.99	$5,012.33	$10,649.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,764.16 / $2,614.38 / $4,874.35	Professional		$1,764.16	$2,614.38	$4,874.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,991.51 / $3,519.44 / $4,093.76	Facility		$2,991.51	$3,519.44	$4,093.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,981.92 / $2,914.44 / $4,790.60	Professional		$1,981.92	$2,914.44	$4,790.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,817.12 / $2,312.69 / $4,307.28	Professional		$1,817.12	$2,312.69	$4,307.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,697.37 / $2,759.18 / $3,056.07	Professional		$2,697.37	$2,759.18	$3,056.07
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 $1,785.81 / $2,621.69 / $4,503.91	Professional		$1,785.81	$2,621.69	$4,503.91