Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.00 / $4,592.00 / $6,915.00	Facility		$1,202.00	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $939.88 / $1,147.45 / $2,212.50	Professional		$939.88	$1,147.45	$2,212.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,376.26 / $4,412.76 / $8,702.00	Facility		$1,376.26	$4,412.76	$8,702.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,015.15 / $1,451.51 / $2,957.25	Professional		$1,015.15	$1,451.51	$2,957.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,313.97 / $1,313.97 / $1,313.97	Facility		$1,313.97	$1,313.97	$1,313.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,155.38 / $1,350.00	Facility		$500.00	$1,155.38	$1,350.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $943.45 / $1,692.22 / $3,037.45	Professional		$943.45	$1,692.22	$3,037.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,167.42 / $1,471.97 / $2,450.23	Professional		$1,167.42	$1,471.97	$2,450.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,574.25 / $1,846.49 / $1,878.03	Professional		$1,574.25	$1,846.49	$1,878.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,766.00 / $14,048.00	Facility		$1,738.00	$7,766.00	$14,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $887.12 / $1,317.48 / $2,360.63	Professional		$887.12	$1,317.48	$2,360.63