Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $917.07 / $917.07 / $2,178.41	Facility		$917.07	$917.07	$2,178.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $853.48 / $1,158.40 / $1,339.47	Professional		$853.48	$1,158.40	$1,339.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,931.10 / $2,703.54 / $7,087.14	Facility		$1,931.10	$2,703.54	$7,087.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,025.05 / $1,605.68 / $3,082.91	Professional		$1,025.05	$1,605.68	$3,082.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,506.35 / $1,978.77 / $3,572.54	Facility		$1,506.35	$1,978.77	$3,572.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,641.44 / $1,641.44 / $1,641.44	Professional		$1,641.44	$1,641.44	$1,641.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,107.01 / $1,107.01 / $1,107.01	Facility		$1,107.01	$1,107.01	$1,107.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $808.12 / $1,140.22 / $1,800.06	Professional		$808.12	$1,140.22	$1,800.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,467.64 / $1,931.10 / $2,683.31	Professional		$1,467.64	$1,931.10	$2,683.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,027.65 / $2,462.15 / $4,238.54	Professional		$2,027.65	$2,462.15	$4,238.54
United Facility/Professional Professional Modifier Low / Median / High Price $642.27 / $963.41 / $1,589.45	Professional		$642.27	$963.41	$1,589.45