Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $5,370.32 / $9,549.93	Facility		$1,380.38	$5,370.32	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,548.82 / $2,691.53	Professional		$1,288.25	$1,548.82	$2,691.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,801.89 / $10,000.00	Facility		$1,047.13	$3,801.89	$10,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,344.23 / $3,548.13	Professional		$1,380.38	$2,344.23	$3,548.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $616.60 / $831.76	Facility		$398.11	$616.60	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,905.46 / $3,162.28	Professional		$1,318.26	$1,905.46	$3,162.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,819.70 / $3,548.13	Professional		$1,380.38	$1,819.70	$3,548.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $2,884.03 / $3,467.37	Professional		$15.14	$2,884.03	$3,467.37
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 $1,288.25 / $1,737.80 / $3,019.95	Professional		$1,288.25	$1,737.80	$3,019.95