Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43,651.58 / $43,651.58 / $91,201.08	Facility		$43,651.58	$43,651.58	$91,201.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43,651.58 / $43,651.58 / $57,543.99	Professional		$43,651.58	$43,651.58	$57,543.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43,651.58 / $70,794.58 / $234,422.88	Facility		$43,651.58	$70,794.58	$234,422.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43,651.58 / $43,651.58 / $43,651.58	Professional		$43,651.58	$43,651.58	$43,651.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44,668.36 / $44,668.36 / $44,668.36	Professional		$44,668.36	$44,668.36	$44,668.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40,738.03 / $40,738.03 / $43,651.58	Facility		$40,738.03	$40,738.03	$43,651.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43,651.58 / $43,651.58 / $48,977.88	Professional		$43,651.58	$43,651.58	$48,977.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36,307.81 / $43,651.58 / $64,565.42	Professional		$36,307.81	$43,651.58	$64,565.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28,183.83 / $32,359.37 / $97,723.72	Professional		$28,183.83	$32,359.37	$97,723.72
United Facility/Professional Facility Modifier Low / Median / High Price $45,708.82 / $89,125.09 / $123,026.88	Facility		$45,708.82	$89,125.09	$123,026.88
United Facility/Professional Professional Modifier Low / Median / High Price $43,651.58 / $45,708.82 / $56,234.13	Professional		$43,651.58	$45,708.82	$56,234.13