Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $898.31 / $5,045.00 / $6,915.00	Facility		$898.31	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.71 / $692.01 / $1,281.31	Professional		$549.71	$692.01	$1,281.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $878.93 / $2,533.21 / $5,240.56	Facility		$878.93	$2,533.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $587.10 / $903.85 / $1,575.37	Professional		$587.10	$903.85	$1,575.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,117.16 / $1,359.17 / $1,848.87	Facility		$1,117.16	$1,359.17	$1,848.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $735.78 / $735.78 / $1,153.31	Facility		$735.78	$735.78	$1,153.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $617.51 / $923.26 / $1,635.51	Professional		$617.51	$923.26	$1,635.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $709.78 / $967.88 / $1,599.44	Professional		$709.78	$967.88	$1,599.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,145.73 / $1,145.73 / $1,161.44	Professional		$1,145.73	$1,145.73	$1,161.44
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 $524.78 / $802.69 / $1,470.73	Professional		$524.78	$802.69	$1,470.73