Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,497.70 / $5,045.00 / $6,915.00	Facility		$1,497.70	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,294.91 / $1,497.70 / $3,740.37	Professional		$1,294.91	$1,497.70	$3,740.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $985.58 / $2,533.63 / $6,065.87	Facility		$985.58	$2,533.63	$6,065.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,280.41 / $1,834.57 / $3,386.00	Professional		$1,280.41	$1,834.57	$3,386.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,317.56 / $2,726.54 / $3,223.23	Facility		$2,317.56	$2,726.54	$3,223.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,326.02 / $2,173.60 / $3,703.24	Professional		$1,326.02	$2,173.60	$3,703.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,430.70 / $1,820.90 / $2,198.08	Professional		$1,430.70	$1,820.90	$2,198.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.56 / $2,343.60 / $2,542.19	Professional		$2,137.56	$2,343.60	$2,542.19
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 $1,381.77 / $1,806.99 / $3,124.40	Professional		$1,381.77	$1,806.99	$3,124.40