Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $772.56 / $4,368.00 / $6,915.00	Facility		$772.56	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.94 / $544.83 / $1,058.45	Professional		$454.94	$544.83	$1,058.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,795.56 / $6,315.83	Facility		$964.00	$2,795.56	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $504.96 / $731.57 / $1,327.47	Professional		$504.96	$731.57	$1,327.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $887.03 / $1,077.78 / $1,466.09	Facility		$887.03	$1,077.78	$1,466.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $583.27 / $583.27 / $2,172.58	Facility		$583.27	$583.27	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $521.09 / $781.23 / $1,289.84	Professional		$521.09	$781.23	$1,289.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.82 / $784.22 / $1,312.84	Professional		$562.82	$784.22	$1,312.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $728.49 / $863.04 / $2,254.69	Professional		$728.49	$863.04	$2,254.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $454.67 / $703.50 / $1,315.09	Professional		$454.67	$703.50	$1,315.09