Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $504.77 / $1,398.21 / $2,406.19	Facility		$504.77	$1,398.21	$2,406.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $504.77 / $592.05 / $728.69	Professional		$504.77	$592.05	$728.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.02 / $759.05 / $2,312.52	Facility		$223.02	$759.05	$2,312.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.96 / $106.20 / $683.14	Professional		$84.96	$106.20	$683.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $759.05 / $1,100.61 / $1,631.43	Facility		$759.05	$1,100.61	$1,631.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,133.98 / $1,669.91 / $2,340.59	Facility		$1,133.98	$1,669.91	$2,340.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $444.04 / $3,908.18 / $3,908.18	Professional		$444.04	$3,908.18	$3,908.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $683.15 / $1,356.13 / $3,521.96	Professional		$683.15	$1,356.13	$3,521.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $880.50 / $1,017.13 / $1,404.24	Professional		$880.50	$1,017.13	$1,404.24
United Facility/Professional Facility Modifier Low / Median / High Price $948.81 / $948.81 / $948.81	Facility		$948.81	$948.81	$948.81
United Facility/Professional Professional Modifier Low / Median / High Price $318.80 / $455.43 / $1,328.72	Professional		$318.80	$455.43	$1,328.72