Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $528.67 / $528.67 / $1,412.16	Facility		$528.67	$528.67	$1,412.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $528.67 / $675.75 / $763.20	Professional		$528.67	$675.75	$763.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $517.73 / $863.31 / $1,050.00	Facility		$517.73	$863.31	$1,050.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $500.00 / $1,232.25	Professional		$500.00	$500.00	$1,232.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $795.00 / $1,152.75 / $1,708.69	Facility		$795.00	$1,152.75	$1,708.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,187.70 / $1,749.00 / $2,451.37	Facility		$1,187.70	$1,749.00	$2,451.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.50 / $1,923.90 / $2,074.94	Professional		$397.50	$1,923.90	$2,074.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $715.50 / $1,033.50 / $1,855.77	Professional		$715.50	$1,033.50	$1,855.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $961.95 / $1,113.00 / $1,470.75	Professional		$961.95	$1,113.00	$1,470.75
United Facility/Professional Professional Modifier Low / Median / High Price $333.90 / $477.00 / $1,391.65	Professional		$333.90	$477.00	$1,391.65