Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,180.39 / $5,045.00 / $6,915.00	Facility		$1,180.39	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,079.01 / $1,307.93 / $2,387.42	Professional		$1,079.01	$1,307.93	$2,387.42
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 $1,172.50 / $1,775.93 / $2,998.63	Professional		$1,172.50	$1,775.93	$2,998.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,663.72 / $1,663.72 / $1,663.72	Facility		$1,663.72	$1,663.72	$1,663.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,103.49 / $1,103.49 / $1,103.49	Professional		$1,103.49	$1,103.49	$1,103.49
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 $1,078.07 / $1,800.23 / $2,808.39	Professional		$1,078.07	$1,800.23	$2,808.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,172.50 / $1,524.25 / $2,711.15	Professional		$1,172.50	$1,524.25	$2,711.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,083.40 / $2,983.30	Professional		$7.00	$2,083.40	$2,983.30
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 $1,106.80 / $1,547.27 / $2,733.12	Professional		$1,106.80	$1,547.27	$2,733.12