Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.00 / $5,595.00 / $9,512.00	Facility		$1,791.00	$5,595.00	$9,512.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,262.58 / $1,529.54 / $2,787.40	Professional		$1,262.58	$1,529.54	$2,787.40
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 $1,373.78 / $2,106.42 / $3,510.46	Professional		$1,373.78	$2,106.42	$3,510.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,998.50 / $1,998.50 / $1,998.50	Facility		$1,998.50	$1,998.50	$1,998.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,286.48 / $1,286.48 / $1,286.48	Professional		$1,286.48	$1,286.48	$1,286.48
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 $1,271.64 / $2,134.28 / $3,263.72	Professional		$1,271.64	$2,134.28	$3,263.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,362.60 / $1,771.38 / $3,190.01	Professional		$1,362.60	$1,771.38	$3,190.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,367.36 / $2,023.42 / $2,723.30	Professional		$1,367.36	$2,023.42	$2,723.30
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 $1,262.20 / $1,789.49 / $3,045.25	Professional		$1,262.20	$1,789.49	$3,045.25