Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,005.09 / $4,590.00 / $6,915.00	Facility		$1,005.09	$4,590.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $649.61 / $777.26 / $1,504.96	Professional		$649.61	$777.26	$1,504.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.00 / $2,292.94 / $5,240.56	Facility		$869.00	$2,292.94	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $695.29 / $1,018.82 / $1,882.82	Professional		$695.29	$1,018.82	$1,882.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,261.50 / $1,530.02 / $2,081.28	Facility		$1,261.50	$1,530.02	$2,081.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $827.67 / $827.67 / $1,153.31	Facility		$827.67	$827.67	$1,153.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $722.33 / $1,108.48 / $1,835.31	Professional		$722.33	$1,108.48	$1,835.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $798.99 / $1,216.45 / $1,800.50	Professional		$798.99	$1,216.45	$1,800.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $936.99 / $1,266.98 / $3,124.05	Professional		$936.99	$1,266.98	$3,124.05
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 $635.30 / $949.65 / $1,644.14	Professional		$635.30	$949.65	$1,644.14