Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $683.15 / $4,592.00 / $6,915.00	Facility		$683.15	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.42 / $665.93 / $1,283.83	Professional		$463.42	$665.93	$1,283.83
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 $481.75 / $738.63 / $1,295.14	Professional		$481.75	$738.63	$1,295.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,004.64 / $1,004.64 / $1,004.64	Facility		$1,004.64	$1,004.64	$1,004.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $835.21 / $835.21 / $2,172.58	Facility		$835.21	$835.21	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $585.92 / $890.69 / $1,486.38	Professional		$585.92	$890.69	$1,486.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.34 / $832.91 / $1,588.18	Professional		$575.34	$832.91	$1,588.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $747.64 / $886.98 / $1,185.30	Professional		$747.64	$886.98	$1,185.30
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 $588.98 / $947.26 / $1,465.30	Professional		$588.98	$947.26	$1,465.30