Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,370.32 / $9,549.93	Facility		$2,951.21	$5,370.32	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,041.74 / $3,548.13	Professional		$1,698.24	$2,041.74	$3,548.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $3,162.28 / $6,606.93	Facility		$851.14	$3,162.28	$6,606.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,090.30 / $4,677.35	Professional		$1,862.09	$3,090.30	$4,677.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
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 $1,479.11 / $2,511.89 / $4,168.69	Professional		$1,479.11	$2,511.89	$4,168.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $4,365.16	Professional		$1,698.24	$2,187.76	$4,365.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $3,630.78 / $4,570.88	Professional		$7.08	$3,630.78	$4,570.88
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 $1,698.24 / $2,290.87 / $3,981.07	Professional		$1,698.24	$2,290.87	$3,981.07