Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.20 / $5,063.00 / $12,390.00	Facility		$1,129.20	$5,063.00	$12,390.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $643.67 / $785.29 / $1,501.82	Professional		$643.67	$785.29	$1,501.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,676.72 / $21,112.96	Facility		$1,082.02	$3,676.72	$21,112.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $716.05 / $1,028.53 / $1,860.85	Professional		$716.05	$1,028.53	$1,860.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,093.73 / $1,093.73 / $1,093.73	Facility		$1,093.73	$1,093.73	$1,093.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $815.40 / $815.40 / $2,172.58	Facility		$815.40	$815.40	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.79 / $1,119.03 / $1,823.50	Professional		$741.79	$1,119.03	$1,823.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $787.81 / $1,100.16 / $1,775.31	Professional		$787.81	$1,100.16	$1,775.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,265.88 / $1,265.88 / $1,289.14	Professional		$1,265.88	$1,265.88	$1,289.14
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 $630.70 / $999.80 / $1,624.96	Professional		$630.70	$999.80	$1,624.96