Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,284.29 / $5,063.00 / $8,320.45	Facility		$4,284.29	$5,063.00	$8,320.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,951.90 / $4,804.35 / $8,908.60	Professional		$3,951.90	$4,804.35	$8,908.60
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 $3,544.24 / $6,018.57 / $10,863.68	Professional		$3,544.24	$6,018.57	$10,863.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,997.81 / $5,997.81 / $5,997.81	Facility		$5,997.81	$5,997.81	$5,997.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,026.57 / $4,026.57 / $4,026.57	Professional		$4,026.57	$4,026.57	$4,026.57
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 $3,255.00 / $6,634.80 / $11,169.58	Professional		$3,255.00	$6,634.80	$11,169.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,226.68 / $5,494.70 / $10,421.29	Professional		$4,226.68	$5,494.70	$10,421.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $7,521.70 / $10,618.20	Professional		$15.00	$7,521.70	$10,618.20
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 $3,847.97 / $5,538.49 / $10,018.65	Professional		$3,847.97	$5,538.49	$10,018.65