Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,478.72 / $5,045.00 / $6,915.00	Facility		$1,478.72	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,354.25 / $1,640.23 / $2,989.90	Professional		$1,354.25	$1,640.23	$2,989.90
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 $1,474.67 / $2,263.33 / $3,745.65	Professional		$1,474.67	$2,263.33	$3,745.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,115.23 / $2,115.23 / $2,115.23	Facility		$2,115.23	$2,115.23	$2,115.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,378.63 / $1,378.63 / $1,378.63	Professional		$1,378.63	$1,378.63	$1,378.63
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 $1,375.66 / $2,251.46 / $3,504.06	Professional		$1,375.66	$2,251.46	$3,504.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,462.95 / $1,901.84 / $3,406.42	Professional		$1,462.95	$1,901.84	$3,406.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,606.30 / $3,727.50	Professional		$7.00	$2,606.30	$3,727.50
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 $1,395.90 / $1,948.77 / $3,593.11	Professional		$1,395.90	$1,948.77	$3,593.11