Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $830.21 / $5,045.00 / $6,915.00	Facility		$830.21	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $687.54 / $854.55 / $1,546.93	Professional		$687.54	$854.55	$1,546.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,140.78 / $3,272.95 / $6,339.18	Facility		$1,140.78	$3,272.95	$6,339.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $730.74 / $1,119.41 / $1,954.75	Professional		$730.74	$1,119.41	$1,954.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,351.08 / $1,656.83 / $2,253.77	Facility		$1,351.08	$1,656.83	$2,253.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $904.09 / $904.09 / $2,500.00	Facility		$904.09	$904.09	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $746.61 / $1,117.67 / $2,010.33	Professional		$746.61	$1,117.67	$2,010.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $865.21 / $1,226.30 / $1,949.74	Professional		$865.21	$1,226.30	$1,949.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,407.25 / $1,407.25 / $1,415.80	Professional		$1,407.25	$1,407.25	$1,415.80
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 $677.59 / $1,009.41 / $1,771.39	Professional		$677.59	$1,009.41	$1,771.39