Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $719.38 / $4,733.00 / $6,915.00	Facility		$719.38	$4,733.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $601.91 / $755.33 / $1,487.78	Professional		$601.91	$755.33	$1,487.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $2,986.70 / $6,315.83	Facility		$1,082.02	$2,986.70	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $605.41 / $940.53 / $1,785.94	Professional		$605.41	$940.53	$1,785.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $658.82 / $658.82 / $658.82	Facility		$658.82	$658.82	$658.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $791.21 / $791.21 / $1,653.56	Facility		$791.21	$791.21	$1,653.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.61 / $958.10 / $1,781.43	Professional		$529.61	$958.10	$1,781.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $763.57 / $1,038.92 / $1,720.68	Professional		$763.57	$1,038.92	$1,720.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,223.06 / $1,223.06 / $1,249.47	Professional		$1,223.06	$1,223.06	$1,249.47
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $548.92 / $804.13 / $1,570.00	Professional		$548.92	$804.13	$1,570.00