Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.99 / $5,045.00 / $6,915.00	Facility		$935.99	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $561.00 / $680.57 / $1,637.57	Professional		$561.00	$680.57	$1,637.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,135.89 / $2,987.00 / $6,315.83	Facility		$1,135.89	$2,987.00	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.00 / $959.28 / $1,727.68	Professional		$602.00	$959.28	$1,727.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,020.56 / $1,200.66 / $1,406.07	Facility		$1,020.56	$1,200.66	$1,406.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $672.42 / $1,158.08 / $1,645.42	Professional		$672.42	$1,158.08	$1,645.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $624.12 / $794.33 / $2,116.48	Professional		$624.12	$794.33	$2,116.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $941.29 / $1,027.55 / $1,112.06	Professional		$941.29	$1,027.55	$1,112.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,689.00 / $8,836.00	Facility		$1,519.00	$6,689.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $607.49 / $889.10 / $1,427.01	Professional		$607.49	$889.10	$1,427.01