Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $3,630.78 / $7,413.10	Facility		$363.08	$3,630.78	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $323.59 / $524.81	Professional		$194.98	$323.59	$524.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $2,238.72 / $4,786.30	Facility		$691.83	$2,238.72	$4,786.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $371.54 / $616.60	Professional		$208.93	$371.54	$616.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $512.86 / $831.76	Facility		$288.40	$512.86	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $338.84 / $630.96	Professional		$199.53	$338.84	$630.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $389.05 / $691.83	Professional		$223.87	$389.05	$691.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $616.60 / $954.99	Professional		$5.01	$616.60	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,454.71 / $5,248.07	Facility		$524.81	$2,454.71	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $323.59 / $602.56	Professional		$190.55	$323.59	$602.56