Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $528.34 / $528.34 / $1,411.26	Facility		$528.34	$528.34	$1,411.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $528.34 / $675.32 / $762.71	Professional		$528.34	$675.32	$762.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.32 / $794.49 / $1,018.81	Facility		$478.32	$794.49	$1,018.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.16 / $239.16 / $794.49	Professional		$239.16	$239.16	$794.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $794.49 / $1,152.01 / $1,707.60	Facility		$794.49	$1,152.01	$1,707.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,186.94 / $1,747.88 / $2,495.75	Facility		$1,186.94	$1,747.88	$2,495.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $715.04 / $873.94 / $1,112.29	Professional		$715.04	$873.94	$1,112.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $921.61 / $1,064.61 / $1,469.81	Professional		$921.61	$1,064.61	$1,469.81
United Facility/Professional Professional Modifier Low / Median / High Price $333.69 / $476.69 / $1,390.75	Professional		$333.69	$476.69	$1,390.75