Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,161.87 / $5,045.00 / $6,915.00	Facility		$2,161.87	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,925.79 / $2,389.23 / $4,346.39	Professional		$1,925.79	$2,389.23	$4,346.39
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 $2,121.40 / $3,179.38 / $5,509.29	Professional		$2,121.40	$3,179.38	$5,509.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,881.81 / $2,881.81 / $2,881.81	Facility		$2,881.81	$2,881.81	$2,881.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,024.42 / $2,024.42 / $2,024.42	Professional		$2,024.42	$2,024.42	$2,024.42
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 $1,904.12 / $3,261.65 / $5,110.28	Professional		$1,904.12	$3,261.65	$5,110.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,157.08 / $2,804.20 / $4,736.26	Professional		$2,157.08	$2,804.20	$4,736.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $3,515.40 / $5,491.90	Professional		$7.00	$3,515.40	$5,491.90
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 $1,961.16 / $2,738.07 / $4,699.84	Professional		$1,961.16	$2,738.07	$4,699.84