Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,438.19 / $5,063.00 / $6,915.00	Facility		$3,438.19	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,079.52 / $3,842.99 / $6,650.24	Professional		$3,079.52	$3,842.99	$6,650.24
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 $3,094.29 / $4,767.58 / $8,464.39	Professional		$3,094.29	$4,767.58	$8,464.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,201.22 / $4,201.22 / $4,201.22	Facility		$4,201.22	$4,201.22	$4,201.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,169.76 / $3,169.76 / $3,169.76	Professional		$3,169.76	$3,169.76	$3,169.76
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 $2,822.32 / $4,511.01 / $8,006.83	Professional		$2,822.32	$4,511.01	$8,006.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,332.65 / $4,332.45 / $6,670.95	Professional		$3,332.65	$4,332.45	$6,670.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $4,934.80 / $8,529.00	Professional		$15.00	$4,934.80	$8,529.00
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 $2,874.52 / $4,016.00 / $7,519.79	Professional		$2,874.52	$4,016.00	$7,519.79