Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $904.38 / $5,405.00 / $10,897.00	Facility		$904.38	$5,405.00	$10,897.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $459.69 / $550.70 / $1,289.29	Professional		$459.69	$550.70	$1,289.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,851.84 / $13,523.26	Facility		$1,082.02	$3,851.84	$13,523.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $514.46 / $740.19 / $1,331.01	Professional		$514.46	$740.19	$1,331.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $894.03 / $1,082.15 / $1,472.03	Facility		$894.03	$1,082.15	$1,472.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $585.13 / $5,845.00 / $10,047.00	Facility		$585.13	$5,845.00	$10,047.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $535.37 / $796.97 / $1,300.40	Professional		$535.37	$796.97	$1,300.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $565.10 / $788.30 / $1,666.35	Professional		$565.10	$788.30	$1,666.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $801.19 / $824.60 / $950.40	Professional		$801.19	$824.60	$950.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $10,000.00 / $18,613.00	Facility		$1,998.00	$10,000.00	$18,613.00
United Facility/Professional Professional Modifier Low / Median / High Price $450.02 / $724.09 / $1,162.28	Professional		$450.02	$724.09	$1,162.28