Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $638.75 / $4,817.00 / $6,915.00	Facility		$638.75	$4,817.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.27 / $451.54 / $998.85	Professional		$373.27	$451.54	$998.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,088.55 / $6,315.83	Facility		$1,082.02	$3,088.55	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $415.20 / $601.28 / $1,111.20	Professional		$415.20	$601.28	$1,111.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $740.81 / $900.90 / $1,225.50	Facility		$740.81	$900.90	$1,225.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $487.67 / $487.67 / $2,172.58	Facility		$487.67	$487.67	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $423.71 / $646.30 / $1,075.82	Professional		$423.71	$646.30	$1,075.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $470.46 / $646.33 / $1,290.95	Professional		$470.46	$646.33	$1,290.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $674.78 / $763.27 / $791.23	Professional		$674.78	$763.27	$791.23
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 $363.82 / $569.70 / $970.34	Professional		$363.82	$569.70	$970.34