Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.87 / $5,405.00 / $10,572.00	Facility		$921.87	$5,405.00	$10,572.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.26 / $591.12 / $1,187.08	Professional		$477.26	$591.12	$1,187.08
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 $515.24 / $765.94 / $1,415.48	Professional		$515.24	$765.94	$1,415.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $946.32 / $1,149.99 / $1,564.32	Facility		$946.32	$1,149.99	$1,564.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $622.33 / $5,845.00 / $10,047.00	Facility		$622.33	$5,845.00	$10,047.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $534.79 / $820.63 / $1,394.52	Professional		$534.79	$820.63	$1,394.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $600.53 / $829.76 / $1,353.29	Professional		$600.53	$829.76	$1,353.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $518.64 / $939.20 / $3,259.56	Professional		$518.64	$939.20	$3,259.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00
United Facility/Professional Professional Modifier Low / Median / High Price $473.94 / $725.88 / $1,236.04	Professional		$473.94	$725.88	$1,236.04