Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,889.25 / $5,045.00 / $6,915.00	Facility		$1,889.25	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,620.96 / $2,073.67 / $3,483.80	Professional		$1,620.96	$2,073.67	$3,483.80
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 $1,753.28 / $2,653.43 / $5,050.46	Professional		$1,753.28	$2,653.43	$5,050.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,705.45 / $2,705.45 / $2,705.45	Facility		$2,705.45	$2,705.45	$2,705.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,122.21 / $2,500.00	Facility		$500.00	$2,122.21	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,873.55 / $2,798.94 / $5,000.89	Professional		$1,873.55	$2,798.94	$5,000.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,162.05 / $3,008.06 / $5,437.00	Professional		$2,162.05	$3,008.06	$5,437.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,062.26 / $3,118.68 / $3,556.79	Professional		$3,062.26	$3,118.68	$3,556.79
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,587.00 / $9,079.00	Facility		$625.00	$3,587.00	$9,079.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,601.58 / $2,481.07 / $4,848.88	Professional		$1,601.58	$2,481.07	$4,848.88