Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,972.48 / $5,690.00 / $14,490.00	Facility		$1,972.48	$5,690.00	$14,490.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,153.32 / $1,385.57 / $2,554.10	Professional		$1,153.32	$1,385.57	$2,554.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,088.00 / $4,795.72 / $13,137.87	Facility		$1,088.00	$4,795.72	$13,137.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,250.92 / $1,927.97 / $3,426.18	Professional		$1,250.92	$1,927.97	$3,426.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,837.13 / $1,837.13 / $1,837.13	Facility		$1,837.13	$1,837.13	$1,837.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,179.28 / $1,179.28 / $1,179.28	Professional		$1,179.28	$1,179.28	$1,179.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $703.00 / $9,852.00	Facility		$400.00	$703.00	$9,852.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,131.01 / $1,916.78 / $2,996.22	Professional		$1,131.01	$1,916.78	$2,996.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,250.92 / $1,626.20 / $2,928.55	Professional		$1,250.92	$1,626.20	$2,928.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,199.69 / $3,171.70	Professional		$7.00	$2,199.69	$3,171.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,049.00 / $8,566.00 / $18,000.00	Facility		$1,049.00	$8,566.00	$18,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,189.71 / $1,658.21 / $2,858.98	Professional		$1,189.71	$1,658.21	$2,858.98