Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,429.89 / $2,440.69 / $3,587.83	Facility		$2,429.89	$2,440.69	$3,587.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,429.89 / $2,944.97	Professional		$2,429.89	$2,429.89	$2,944.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,429.89 / $3,887.82 / $8,917.70	Facility		$2,429.89	$3,887.82	$8,917.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,429.89 / $2,478.48	Professional		$2,429.89	$2,429.89	$2,478.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,429.89 / $2,429.89 / $4,762.58	Facility		$2,429.89	$2,429.89	$4,762.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,429.89 / $2,429.89	Professional		$2,429.89	$2,429.89	$2,429.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,292.35 / $2,292.35 / $2,429.89	Facility		$2,292.35	$2,292.35	$2,429.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,429.89 / $2,974.42	Professional		$2,429.89	$2,429.89	$2,974.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,949.17 / $2,654.70 / $5,764.00	Professional		$1,949.17	$2,654.70	$5,764.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,308.40 / $4,130.81 / $5,005.35	Professional		$2,308.40	$4,130.81	$5,005.35
United Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,575.67 / $3,110.26	Professional		$2,429.89	$2,575.67	$3,110.26