Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $979.80 / $5,045.00 / $6,915.00	Facility		$979.80	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.59 / $654.90 / $1,366.68	Professional		$537.59	$654.90	$1,366.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $5,435.54 / $12,227.65	Facility		$1,206.01	$5,435.54	$12,227.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $600.85 / $867.37 / $1,554.54	Professional		$600.85	$867.37	$1,554.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,042.36 / $1,260.96 / $1,715.28	Facility		$1,042.36	$1,260.96	$1,715.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $681.85 / $681.85 / $4,830.16	Facility		$681.85	$681.85	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $629.83 / $934.59 / $1,521.22	Professional		$629.83	$934.59	$1,521.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $658.49 / $990.61 / $1,483.90	Professional		$658.49	$990.61	$1,483.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $899.52 / $952.63 / $1,107.47	Professional		$899.52	$952.63	$1,107.47
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 $527.54 / $846.45 / $1,357.47	Professional		$527.54	$846.45	$1,357.47