Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.77 / $562.77 / $1,503.23	Facility		$562.77	$562.77	$1,503.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.77 / $719.33 / $812.42	Professional		$562.77	$719.33	$812.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $551.12 / $846.27 / $1,085.21	Facility		$551.12	$846.27	$1,085.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.51 / $677.02 / $1,396.35	Professional		$338.51	$677.02	$1,396.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $846.27 / $1,227.08 / $1,818.89	Facility		$846.27	$1,227.08	$1,818.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,100.16 / $1,861.79 / $2,609.15	Facility		$1,100.16	$1,861.79	$2,609.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,387.88 / $2,047.97 / $4,762.59	Professional		$1,387.88	$2,047.97	$4,762.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $761.64 / $1,100.15 / $1,975.06	Professional		$761.64	$1,100.15	$1,975.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.99 / $1,184.78 / $1,565.60	Professional		$1,023.99	$1,184.78	$1,565.60
United Facility/Professional Professional Modifier Low / Median / High Price $355.43 / $507.76 / $1,481.40	Professional		$355.43	$507.76	$1,481.40