Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,889.89 / $5,045.00 / $6,915.00	Facility		$1,889.89	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,259.21 / $1,544.06 / $3,271.51	Professional		$1,259.21	$1,544.06	$3,271.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,140.78 / $3,640.00 / $8,545.91	Facility		$1,140.78	$3,640.00	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,314.00 / $2,004.40 / $3,964.08	Professional		$1,314.00	$2,004.40	$3,964.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,096.67 / $2,096.67 / $2,096.67	Facility		$2,096.67	$2,096.67	$2,096.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,551.17 / $4,250.64	Facility		$1,000.00	$1,551.17	$4,250.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,461.15 / $2,164.19 / $4,020.03	Professional		$1,461.15	$2,164.19	$4,020.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,562.03 / $2,295.51 / $3,928.11	Professional		$1,562.03	$2,295.51	$3,928.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,066.06 / $2,357.31 / $5,716.73	Professional		$2,066.06	$2,357.31	$5,716.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,218.46 / $1,850.66 / $3,158.57	Professional		$1,218.46	$1,850.66	$3,158.57