Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $990.25 / $5,045.00 / $7,333.68	Facility		$990.25	$5,045.00	$7,333.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $565.73 / $688.99 / $1,440.97	Professional		$565.73	$688.99	$1,440.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,402.00 / $5,435.54 / $12,227.65	Facility		$1,402.00	$5,435.54	$12,227.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $632.90 / $905.04 / $1,637.45	Professional		$632.90	$905.04	$1,637.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,099.19 / $1,329.87 / $1,809.03	Facility		$1,099.19	$1,329.87	$1,809.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $719.05 / $719.05 / $4,830.16	Facility		$719.05	$719.05	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $654.32 / $977.56 / $1,600.63	Professional		$654.32	$977.56	$1,600.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $694.47 / $974.20 / $1,602.24	Professional		$694.47	$974.20	$1,602.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $650.29 / $1,105.29 / $7,044.69	Professional		$650.29	$1,105.29	$7,044.69
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 $553.10 / $833.22 / $1,429.88	Professional		$553.10	$833.22	$1,429.88