Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $6,025.60 / $9,549.93	Facility		$4,570.88	$6,025.60	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,128.61 / $8,912.51	Professional		$4,265.80	$5,128.61	$8,912.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,818.38 / $6,025.60	Facility		$724.44	$2,818.38	$6,025.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $7,585.78 / $11,220.18	Professional		$4,677.35	$7,585.78	$11,220.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Professional		$4,365.16	$4,365.16	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $588.84 / $831.76	Facility		$199.53	$588.84	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $6,025.60 / $10,471.29	Professional		$3,715.35	$6,025.60	$10,471.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $5,888.44 / $9,332.54	Professional		$4,570.88	$5,888.44	$9,332.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $9,120.11 / $11,748.98	Professional		$12.88	$9,120.11	$11,748.98
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 $4,265.80 / $5,623.41 / $10,000.00	Professional		$4,265.80	$5,623.41	$10,000.00