Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,068.85 / $4,368.00 / $6,915.00	Facility		$1,068.85	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $572.86 / $695.88 / $1,348.42	Professional		$572.86	$695.88	$1,348.42
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 $639.16 / $966.64 / $1,724.10	Professional		$639.16	$966.64	$1,724.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,253.05 / $1,253.05 / $1,253.05	Facility		$1,253.05	$1,253.05	$1,253.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $728.34 / $728.34 / $4,830.16	Facility		$728.34	$728.34	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $677.51 / $1,007.07 / $1,618.90	Professional		$677.51	$1,007.07	$1,618.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $703.09 / $1,055.79 / $1,584.40	Professional		$703.09	$1,055.79	$1,584.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $843.51 / $1,023.68 / $1,182.46	Professional		$843.51	$1,023.68	$1,182.46
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 $558.00 / $937.54 / $1,448.73	Professional		$558.00	$937.54	$1,448.73