Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $840.85 / $4,733.00 / $6,915.00	Facility		$840.85	$4,733.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $473.17 / $567.07 / $1,059.25	Professional		$473.17	$567.07	$1,059.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $637.50 / $2,601.00 / $7,513.42	Facility		$637.50	$2,601.00	$7,513.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $493.60 / $776.85 / $1,332.14	Professional		$493.60	$776.85	$1,332.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $755.51 / $755.51 / $755.51	Facility		$755.51	$755.51	$755.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $446.48 / $446.48 / $446.48	Professional		$446.48	$446.48	$446.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $703.00 / $3,685.16	Facility		$512.00	$703.00	$3,685.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $496.65 / $757.22 / $1,262.51	Professional		$496.65	$757.22	$1,262.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $485.54 / $631.20 / $1,369.03	Professional		$485.54	$631.20	$1,369.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $967.80 / $1,285.50	Professional		$5.00	$967.80	$1,285.50
United Facility/Professional Facility Modifier Low / Median / High Price $741.00 / $5,664.00 / $11,889.00	Facility		$741.00	$5,664.00	$11,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $484.70 / $714.72 / $1,173.89	Professional		$484.70	$714.72	$1,173.89