Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45,904.30 / $55,272.32 / $55,272.32	Facility		$45,904.30	$55,272.32	$55,272.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55,272.32 / $55,272.32 / $60,799.56	Professional		$55,272.32	$55,272.32	$60,799.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55,272.32 / $88,435.71 / $202,849.41	Facility		$55,272.32	$88,435.71	$202,849.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55,272.32 / $55,272.32 / $56,377.76	Professional		$55,272.32	$55,272.32	$56,377.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55,272.32 / $55,272.32 / $108,333.80	Facility		$55,272.32	$55,272.32	$108,333.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55,272.32 / $55,272.32 / $55,272.32	Professional		$55,272.32	$55,272.32	$55,272.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52,143.70 / $52,143.70 / $55,272.32	Facility		$52,143.70	$52,143.70	$55,272.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55,272.32 / $55,272.32 / $70,394.00	Professional		$55,272.32	$55,272.32	$70,394.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55,536.50 / $55,536.50 / $117,490.00	Professional		$55,536.50	$55,536.50	$117,490.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54,404.11 / $87,046.57 / $117,689.53	Professional		$54,404.11	$87,046.57	$117,689.53
United Facility/Professional Professional Modifier Low / Median / High Price $55,272.32 / $58,588.66 / $73,572.99	Professional		$55,272.32	$58,588.66	$73,572.99