Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,008.90 / $4,008.90 / $4,008.90	Facility		$4,008.90	$4,008.90	$4,008.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,864.00 / $4,008.90 / $4,105.50	Professional		$3,864.00	$4,008.90	$4,105.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,968.00 / $2,968.00 / $3,059.00	Professional		$2,968.00	$2,968.00	$3,059.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,105.50 / $4,226.25 / $4,226.25	Facility		$4,105.50	$4,226.25	$4,226.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,105.50 / $4,105.50 / $4,105.50	Facility		$4,105.50	$4,105.50	$4,105.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,105.50 / $4,105.50 / $4,105.50	Professional		$4,105.50	$4,105.50	$4,105.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,105.50 / $4,105.50 / $5,052.00	Professional		$4,105.50	$4,105.50	$5,052.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,146.08 / $3,146.08 / $4,748.80	Professional		$3,146.08	$3,146.08	$4,748.80
United Facility/Professional Professional Modifier Low / Median / High Price $4,200.00 / $4,200.00 / $4,391.10	Professional		$4,200.00	$4,200.00	$4,391.10