Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,758.69 / $5,063.00 / $6,915.00	Facility		$2,758.69	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,536.41 / $3,059.76 / $5,471.74	Professional		$2,536.41	$3,059.76	$5,471.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $790.00 / $4,803.35 / $17,272.82	Facility		$790.00	$4,803.35	$17,272.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,702.50 / $4,061.45 / $6,869.88	Professional		$2,702.50	$4,061.45	$6,869.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,045.82 / $4,045.82 / $4,045.82	Facility		$4,045.82	$4,045.82	$4,045.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,466.05 / $2,466.05 / $2,466.05	Professional		$2,466.05	$2,466.05	$2,466.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $1,233.00	Facility		$200.00	$617.00	$1,233.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,442.44 / $4,010.46 / $6,728.75	Professional		$2,442.44	$4,010.46	$6,728.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,664.91 / $3,464.38 / $6,238.85	Professional		$2,664.91	$3,464.38	$6,238.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $5,069.20 / $7,085.60	Professional		$7.00	$5,069.20	$7,085.60
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $2,969.00 / $9,079.00	Facility		$400.00	$2,969.00	$9,079.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,564.02 / $3,649.59 / $6,336.65	Professional		$2,564.02	$3,649.59	$6,336.65