Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,616.75 / $5,063.00 / $7,391.00	Facility		$1,616.75	$5,063.00	$7,391.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,323.70 / $1,617.35 / $2,999.38	Professional		$1,323.70	$1,617.35	$2,999.38
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 $1,472.88 / $2,263.13 / $3,930.68	Professional		$1,472.88	$2,263.13	$3,930.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,163.31 / $2,163.31 / $2,163.31	Facility		$2,163.31	$2,163.31	$2,163.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,388.70 / $1,388.70 / $1,388.70	Professional		$1,388.70	$1,388.70	$1,388.70
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 $1,361.08 / $2,244.39 / $3,566.03	Professional		$1,361.08	$2,244.39	$3,566.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,470.92 / $1,912.20 / $3,475.19	Professional		$1,470.92	$1,912.20	$3,475.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,585.69 / $3,722.20	Professional		$7.00	$2,585.69	$3,722.20
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 $1,403.44 / $1,923.77 / $3,235.98	Professional		$1,403.44	$1,923.77	$3,235.98