Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,473.59 / $5,045.00 / $6,915.00	Facility		$1,473.59	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,338.68 / $1,713.48 / $3,073.52	Professional		$1,338.68	$1,713.48	$3,073.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.95 / $3,595.87 / $8,313.99	Facility		$659.95	$3,595.87	$8,313.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,454.15 / $2,229.76 / $3,720.64	Professional		$1,454.15	$2,229.76	$3,720.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,023.24 / $2,023.24 / $2,023.24	Facility		$2,023.24	$2,023.24	$2,023.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,366.87 / $1,366.87 / $1,366.87	Professional		$1,366.87	$1,366.87	$1,366.87
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 $1,364.27 / $2,248.92 / $3,482.98	Professional		$1,364.27	$2,248.92	$3,482.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,454.15 / $1,890.40 / $3,289.91	Professional		$1,454.15	$1,890.40	$3,289.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $2,591.90 / $3,723.70	Professional		$6.00	$2,591.90	$3,723.70
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 $1,379.17 / $1,933.50 / $3,398.21	Professional		$1,379.17	$1,933.50	$3,398.21