Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.07 / $3,295.00 / $6,915.00	Facility		$489.07	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.67 / $470.23 / $917.99	Professional		$313.67	$470.23	$917.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,795.56 / $6,315.83	Facility		$964.00	$2,795.56	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.43 / $488.37 / $910.95	Professional		$323.43	$488.37	$910.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $578.54 / $698.36 / $1,006.43	Facility		$578.54	$698.36	$1,006.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $565.65 / $565.65 / $2,172.58	Facility		$565.65	$565.65	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.61 / $597.46 / $1,073.91	Professional		$382.61	$597.46	$1,073.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $397.84 / $580.17 / $1,121.58	Professional		$397.84	$580.17	$1,121.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $517.19 / $682.42 / $1,437.45	Professional		$517.19	$682.42	$1,437.45
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 $413.19 / $619.79 / $1,022.69	Professional		$413.19	$619.79	$1,022.69