Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,316.06 / $5,045.00 / $6,915.00	Facility		$1,316.06	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.68 / $1,457.93 / $2,659.59	Professional		$1,202.68	$1,457.93	$2,659.59
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 $1,313.11 / $1,997.50 / $3,335.29	Professional		$1,313.11	$1,997.50	$3,335.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,865.60 / $1,865.60 / $1,865.60	Facility		$1,865.60	$1,865.60	$1,865.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,225.75 / $1,225.75 / $1,225.75	Professional		$1,225.75	$1,225.75	$1,225.75
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 $1,209.73 / $1,995.87 / $3,119.38	Professional		$1,209.73	$1,995.87	$3,119.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,302.33 / $1,693.04 / $3,005.78	Professional		$1,302.33	$1,693.04	$3,005.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,322.60 / $3,324.20	Professional		$7.00	$2,322.60	$3,324.20
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 $1,244.19 / $1,799.25 / $2,929.15	Professional		$1,244.19	$1,799.25	$2,929.15