Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $887.22 / $5,063.00 / $7,421.00	Facility		$887.22	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $523.15 / $604.48 / $1,287.76	Professional		$523.15	$604.48	$1,287.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.37 / $2,722.51 / $5,292.58	Facility		$996.37	$2,722.51	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $565.75 / $841.89 / $1,567.39	Professional		$565.75	$841.89	$1,567.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $926.43 / $1,089.92 / $1,286.64	Facility		$926.43	$1,089.92	$1,286.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $626.96 / $924.27 / $1,505.65	Professional		$626.96	$924.27	$1,505.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $571.11 / $726.87 / $3,936.00	Professional		$571.11	$726.87	$3,936.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $685.08 / $709.54 / $752.83	Professional		$685.08	$709.54	$752.83
United Facility/Professional Facility Modifier Low / Median / High Price $772.00 / $2,360.00 / $4,066.00	Facility		$772.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $566.34 / $809.87 / $1,287.14	Professional		$566.34	$809.87	$1,287.14