Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,241.55 / $5,063.00 / $8,074.69	Facility		$4,241.55	$5,063.00	$8,074.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,906.73 / $4,716.55 / $8,607.87	Professional		$3,906.73	$4,716.55	$8,607.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $610.00 / $2,700.00 / $6,065.87	Facility		$610.00	$2,700.00	$6,065.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,231.97 / $6,136.37 / $10,610.52	Professional		$4,231.97	$6,136.37	$10,610.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,012.23 / $6,012.23 / $6,012.23	Facility		$6,012.23	$6,012.23	$6,012.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,994.75 / $3,994.75 / $3,994.75	Professional		$3,994.75	$3,994.75	$3,994.75
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 $3,910.19 / $6,330.78 / $9,890.10	Professional		$3,910.19	$6,330.78	$9,890.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,231.97 / $5,501.57 / $8,040.76	Professional		$4,231.97	$5,501.57	$8,040.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $6,914.60 / $10,679.30	Professional		$13.00	$6,914.60	$10,679.30
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 $3,910.19 / $5,399.79 / $9,327.44	Professional		$3,910.19	$5,399.79	$9,327.44