Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $5,888.44 / $9,549.93	Facility		$4,365.16	$5,888.44	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $2,187.76	Professional		$1,047.13	$1,230.27	$2,187.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $3,630.78 / $8,511.38	Facility		$1,071.52	$3,630.78	$8,511.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,137.96 / $2,818.38	Professional		$1,202.26	$2,137.96	$2,818.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $616.60 / $831.76	Facility		$199.53	$616.60	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,698.24 / $2,691.53	Professional		$1,071.52	$1,698.24	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $4,168.69	Professional		$1,096.48	$1,445.44	$4,168.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $2,238.72 / $2,754.23	Professional		$12.02	$2,238.72	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $2,511.89 / $7,079.46	Facility		$398.11	$2,511.89	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $2,630.27	Professional		$1,047.13	$1,513.56	$2,630.27