Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $722.04 / $4,368.00 / $6,915.00	Facility		$722.04	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $545.37 / $680.78 / $1,332.89	Professional		$545.37	$680.78	$1,332.89
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 $571.73 / $856.69 / $1,636.01	Professional		$571.73	$856.69	$1,636.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $696.01 / $696.01 / $696.01	Facility		$696.01	$696.01	$696.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $723.51 / $723.51 / $1,153.31	Facility		$723.51	$723.51	$1,153.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $538.53 / $875.21 / $1,607.33	Professional		$538.53	$875.21	$1,607.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $698.79 / $1,065.77 / $1,574.71	Professional		$698.79	$1,065.77	$1,574.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $907.47 / $1,047.89 / $1,175.23	Professional		$907.47	$1,047.89	$1,175.23
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $503.81 / $747.28 / $1,438.21	Professional		$503.81	$747.28	$1,438.21