Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.76 / $5,045.00 / $6,915.00	Facility		$873.76	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $780.45 / $949.07 / $2,225.73	Professional		$780.45	$949.07	$2,225.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,651.82 / $4,800.00 / $9,365.64	Facility		$1,651.82	$4,800.00	$9,365.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $795.01 / $1,128.55 / $2,023.91	Professional		$795.01	$1,128.55	$2,023.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,506.27 / $1,648.10 / $2,531.01	Facility		$1,506.27	$1,648.10	$2,531.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.08 / $1,354.32 / $2,144.17	Professional		$912.08	$1,354.32	$2,144.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $789.05 / $1,025.77 / $2,357.83	Professional		$789.05	$1,025.77	$2,357.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,292.08 / $1,334.04 / $1,499.07	Professional		$1,292.08	$1,334.04	$1,499.07
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,629.00 / $10,000.00	Facility		$607.00	$3,629.00	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $829.17 / $1,160.83 / $1,972.21	Professional		$829.17	$1,160.83	$1,972.21