Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.76 / $5,063.00 / $6,915.00	Facility		$649.76	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.62 / $511.66 / $939.52	Professional		$421.62	$511.66	$939.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,081.88 / $6,315.83	Facility		$1,082.02	$3,081.88	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $444.69 / $680.30 / $1,252.39	Professional		$444.69	$680.30	$1,252.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $837.48 / $985.28 / $1,386.09	Facility		$837.48	$985.28	$1,386.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $551.66 / $551.66 / $2,172.58	Facility		$551.66	$551.66	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.00 / $710.37 / $1,214.42	Professional		$467.00	$710.37	$1,214.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $532.10 / $725.60 / $1,199.08	Professional		$532.10	$725.60	$1,199.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $855.24 / $855.24 / $870.72	Professional		$855.24	$855.24	$870.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $408.79 / $618.27 / $1,097.85	Professional		$408.79	$618.27	$1,097.85