Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $441.82 / $4,368.00 / $6,915.00	Facility		$441.82	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.35 / $382.39 / $724.61	Professional		$316.35	$382.39	$724.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.37 / $5,435.54 / $12,227.65	Facility		$996.37	$5,435.54	$12,227.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $318.57 / $498.65 / $902.23	Professional		$318.57	$498.65	$902.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $424.55 / $424.55 / $424.55	Facility		$424.55	$424.55	$424.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.93 / $425.93 / $4,830.16	Facility		$425.93	$425.93	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.35 / $485.95 / $931.21	Professional		$311.35	$485.95	$931.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $409.23 / $558.04 / $922.21	Professional		$409.23	$558.04	$922.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $582.22 / $608.62 / $725.22	Professional		$582.22	$608.62	$725.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,323.00 / $4,594.00 / $7,889.00	Facility		$1,323.00	$4,594.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $283.58 / $406.52 / $847.06	Professional		$283.58	$406.52	$847.06