Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $453.30 / $3,460.00 / $6,915.00	Facility		$453.30	$3,460.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.20 / $435.51 / $776.32	Professional		$267.20	$435.51	$776.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,634.62 / $5,292.58	Facility		$964.00	$2,634.62	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $283.95 / $426.14 / $772.22	Professional		$283.95	$426.14	$772.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $496.20 / $597.78 / $877.55	Facility		$496.20	$597.78	$877.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $362.68 / $488.52 / $2,500.00	Facility		$362.68	$488.52	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.04 / $525.05 / $948.84	Professional		$326.04	$525.05	$948.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $340.54 / $506.30 / $1,040.00	Professional		$340.54	$506.30	$1,040.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $434.47 / $650.41 / $1,261.25	Professional		$434.47	$650.41	$1,261.25
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 $385.30 / $581.54 / $1,058.57	Professional		$385.30	$581.54	$1,058.57