Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.02 / $5,045.00 / $6,915.00	Facility		$1,412.02	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,186.96 / $1,549.70 / $2,811.86	Professional		$1,186.96	$1,549.70	$2,811.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,361.69 / $8,967.21 / $21,657.35	Facility		$2,361.69	$8,967.21	$21,657.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,302.86 / $1,981.78 / $3,719.94	Professional		$1,302.86	$1,981.78	$3,719.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,482.25 / $2,961.17 / $4,028.06	Facility		$2,482.25	$2,961.17	$4,028.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,585.07 / $57,200.00	Facility		$500.00	$1,585.07	$57,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,314.49 / $2,193.00 / $3,589.35	Professional		$1,314.49	$2,193.00	$3,589.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,616.64 / $2,249.23 / $4,065.44	Professional		$1,616.64	$2,249.23	$4,065.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,405.77 / $2,038.37 / $2,600.67	Professional		$1,405.77	$2,038.37	$2,600.67
United Facility/Professional Facility Modifier Low / Median / High Price $2,303.00 / $10,133.00 / $20,037.00	Facility		$2,303.00	$10,133.00	$20,037.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,182.23 / $1,797.63 / $3,385.77	Professional		$1,182.23	$1,797.63	$3,385.77