Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.38 / $4,829.00 / $6,915.00	Facility		$1,548.38	$4,829.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.07 / $1,590.65 / $2,238.06	Professional		$1,258.07	$1,590.65	$2,238.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,039.14 / $2,986.70 / $6,271.28	Facility		$1,039.14	$2,986.70	$6,271.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,092.82 / $1,656.19 / $3,088.25	Professional		$1,092.82	$1,656.19	$3,088.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,088.77 / $2,557.76 / $74,999.25	Facility		$2,088.77	$2,557.76	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $778.00 / $1,732.09 / $2,181.15	Facility		$778.00	$1,732.09	$2,181.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,090.10 / $1,621.43 / $3,329.13	Professional		$1,090.10	$1,621.43	$3,329.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,335.68 / $1,942.80 / $10,388.54	Professional		$1,335.68	$1,942.80	$10,388.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,894.23 / $1,894.23 / $1,905.25	Professional		$1,894.23	$1,894.23	$1,905.25
United Facility/Professional Facility Modifier Low / Median / High Price $990.00 / $6,000.00 / $8,554.00	Facility		$990.00	$6,000.00	$8,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,120.28 / $1,513.05 / $2,912.64	Professional		$1,120.28	$1,513.05	$2,912.64