Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,307.83 / $5,045.00 / $6,915.00	Facility		$2,307.83	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,101.82 / $2,557.64 / $4,652.91	Professional		$2,101.82	$2,557.64	$4,652.91
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 $2,277.10 / $3,477.45 / $5,812.79	Professional		$2,277.10	$3,477.45	$5,812.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,279.80 / $3,279.80 / $3,279.80	Facility		$3,279.80	$3,279.80	$3,279.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,135.91 / $2,135.91 / $2,135.91	Professional		$2,135.91	$2,135.91	$2,135.91
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 $2,033.31 / $3,517.07 / $5,429.95	Professional		$2,033.31	$3,517.07	$5,429.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,267.01 / $2,947.11 / $5,285.18	Professional		$2,267.01	$2,947.11	$5,285.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,153.66 / $3,605.37 / $4,686.39	Professional		$2,153.66	$3,605.37	$4,686.39
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 $2,137.08 / $2,961.86 / $5,307.93	Professional		$2,137.08	$2,961.86	$5,307.93