Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,875.69 / $5,045.00 / $6,915.00	Facility		$1,875.69	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,718.03 / $2,083.94 / $3,820.19	Professional		$1,718.03	$2,083.94	$3,820.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.95 / $3,801.18 / $10,304.31	Facility		$659.95	$3,801.18	$10,304.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,854.19 / $2,870.95 / $4,760.64	Professional		$1,854.19	$2,870.95	$4,760.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,693.35 / $2,693.35 / $2,693.35	Facility		$2,693.35	$2,693.35	$2,693.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,750.29 / $1,750.29 / $1,750.29	Professional		$1,750.29	$1,750.29	$1,750.29
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 $1,638.44 / $2,852.86 / $4,441.17	Professional		$1,638.44	$2,852.86	$4,441.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,854.19 / $2,410.44 / $4,335.24	Professional		$1,854.19	$2,410.44	$4,335.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $3,282.20 / $4,716.70	Professional		$13.00	$3,282.20	$4,716.70
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 $1,751.64 / $2,456.05 / $4,366.41	Professional		$1,751.64	$2,456.05	$4,366.41