Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,345.45 / $2,845.97 / $3,667.91	Facility		$1,345.45	$2,845.97	$3,667.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,743.10 / $2,845.97 / $2,960.94	Professional		$2,743.10	$2,845.97	$2,960.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,194.62 / $3,572.84 / $8,054.26	Facility		$2,194.62	$3,572.84	$8,054.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.25 / $2,285.92 / $2,857.40	Professional		$140.25	$2,285.92	$2,857.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,914.55 / $3,000.27 / $5,850.70	Facility		$2,914.55	$3,000.27	$5,850.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,914.55 / $2,914.55 / $2,914.55	Facility		$2,914.55	$2,914.55	$2,914.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,914.55 / $2,914.55 / $2,914.55	Professional		$2,914.55	$2,914.55	$2,914.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,914.55 / $2,914.55 / $5,829.10	Professional		$2,914.55	$2,914.55	$5,829.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,655.53 / $3,717.74 / $4,057.42	Professional		$2,655.53	$3,717.74	$4,057.42
United Facility/Professional Professional Modifier Low / Median / High Price $2,857.40 / $2,857.40 / $3,428.88	Professional		$2,857.40	$2,857.40	$3,428.88