Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,349.95 / $3,643.16 / $6,435.10	Facility		$1,349.95	$3,643.16	$6,435.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,320.80 / $1,867.60 / $2,267.92	Professional		$1,320.80	$1,867.60	$2,267.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,070.60 / $2,603.15	Facility		$332.00	$2,070.60	$2,603.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $200.00 / $1,827.00	Professional		$160.00	$200.00	$1,827.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,030.00 / $2,943.50 / $4,363.07	Facility		$2,030.00	$2,943.50	$4,363.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,023.98 / $3,576.58 / $6,259.02	Facility		$2,023.98	$3,576.58	$6,259.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $924.59 / $3,099.75 / $11,426.30	Professional		$924.59	$3,099.75	$11,426.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,030.00 / $2,639.00 / $15,823.22	Professional		$2,030.00	$2,639.00	$15,823.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,456.30 / $2,842.00 / $3,755.50	Professional		$2,456.30	$2,842.00	$3,755.50
United Facility/Professional Professional Modifier Low / Median / High Price $852.60 / $1,218.00 / $3,688.71	Professional		$852.60	$1,218.00	$3,688.71