Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $497.68 / $1,160.00 / $1,378.57	Facility		$497.68	$1,160.00	$1,378.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $523.87 / $523.87 / $1,378.57	Professional		$523.87	$523.87	$1,378.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $414.43 / $748.39 / $959.70	Facility		$414.43	$748.39	$959.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $335.33 / $335.33 / $1,039.52	Professional		$335.33	$335.33	$1,039.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $748.39 / $1,085.17 / $1,608.51	Facility		$748.39	$1,085.17	$1,608.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $972.90 / $1,646.46 / $2,307.17	Facility		$972.90	$1,646.46	$2,307.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,213.31 / $4,213.31 / $4,213.31	Professional		$4,213.31	$4,213.31	$4,213.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $673.55 / $972.91 / $5,833.76	Professional		$673.55	$972.91	$5,833.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $868.13 / $1,002.84 / $1,384.52	Professional		$868.13	$1,002.84	$1,384.52
United Facility/Professional Professional Modifier Low / Median / High Price $314.32 / $449.03 / $1,310.06	Professional		$314.32	$449.03	$1,310.06