Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,377.59 / $5,045.00 / $6,915.00	Facility		$1,377.59	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,266.71 / $1,530.53 / $2,792.38	Professional		$1,266.71	$1,530.53	$2,792.38
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 $1,379.89 / $2,108.55 / $3,538.91	Professional		$1,379.89	$2,108.55	$3,538.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,004.68 / $2,004.68 / $2,004.68	Facility		$2,004.68	$2,004.68	$2,004.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,292.45 / $1,292.45 / $1,292.45	Professional		$1,292.45	$1,292.45	$1,292.45
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 $1,278.40 / $2,137.09 / $3,281.26	Professional		$1,278.40	$2,137.09	$3,281.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,369.93 / $1,780.91 / $3,207.16	Professional		$1,369.93	$1,780.91	$3,207.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,426.10 / $3,470.20	Professional		$7.00	$2,426.10	$3,470.20
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 $1,305.22 / $1,794.24 / $3,391.46	Professional		$1,305.22	$1,794.24	$3,391.46