Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,925.00 / $5,411.00 / $14,497.00	Facility		$1,925.00	$5,411.00	$14,497.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,168.75 / $1,417.62 / $2,723.92	Professional		$1,168.75	$1,417.62	$2,723.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $9,240.00 / $23,000.53	Facility		$875.00	$9,240.00	$23,000.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,279.25 / $2,021.21 / $3,402.80	Professional		$1,279.25	$2,021.21	$3,402.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,850.82 / $1,850.82 / $1,850.82	Facility		$1,850.82	$1,850.82	$1,850.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,195.99 / $1,195.99 / $1,195.99	Professional		$1,195.99	$1,195.99	$1,195.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $703.00 / $9,375.00	Facility		$400.00	$703.00	$9,375.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,235.71 / $1,981.93 / $3,042.56	Professional		$1,235.71	$1,981.93	$3,042.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,270.27 / $1,651.35 / $3,567.72	Professional		$1,270.27	$1,651.35	$3,567.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $2,248.00 / $3,229.90	Professional		$11.00	$2,248.00	$3,229.90
United Facility/Professional Facility Modifier Low / Median / High Price $651.00 / $4,666.00 / $24,871.00	Facility		$651.00	$4,666.00	$24,871.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,210.47 / $1,686.82 / $2,934.82	Professional		$1,210.47	$1,686.82	$2,934.82