Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,015.50 / $5,045.00 / $6,915.00	Facility		$1,015.50	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $934.88 / $1,127.79 / $2,058.55	Professional		$934.88	$1,127.79	$2,058.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.95 / $3,801.18 / $10,304.31	Facility		$659.95	$3,801.18	$10,304.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,017.94 / $1,554.35 / $2,585.56	Professional		$1,017.94	$1,554.35	$2,585.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,458.28 / $1,458.28 / $1,458.28	Facility		$1,458.28	$1,458.28	$1,458.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $953.94 / $953.94 / $953.94	Professional		$953.94	$953.94	$953.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $1,159.75	Facility		$200.00	$617.00	$1,159.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $942.90 / $1,558.51 / $2,422.92	Professional		$942.90	$1,558.51	$2,422.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,011.57 / $1,315.04 / $2,350.19	Professional		$1,011.57	$1,315.04	$2,350.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,792.50 / $2,560.60	Professional		$7.00	$1,792.50	$2,560.60
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 $949.12 / $1,310.68 / $2,259.80	Professional		$949.12	$1,310.68	$2,259.80