Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $769.11 / $4,733.00 / $6,915.00	Facility		$769.11	$4,733.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.89 / $568.25 / $1,016.11	Professional		$478.89	$568.25	$1,016.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,174.58 / $4,819.75	Facility		$578.00	$2,174.58	$4,819.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $506.34 / $799.39 / $1,346.86	Professional		$506.34	$799.39	$1,346.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $787.33 / $787.33 / $787.33	Facility		$787.33	$787.33	$787.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $465.42 / $465.42 / $465.42	Professional		$465.42	$465.42	$465.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $703.00 / $1,761.45	Facility		$512.00	$703.00	$1,761.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $493.81 / $761.72 / $1,282.03	Professional		$493.81	$761.72	$1,282.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $500.79 / $651.03 / $1,172.42	Professional		$500.79	$651.03	$1,172.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $939.70 / $1,293.59	Professional		$5.00	$939.70	$1,293.59
United Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $2,307.00 / $5,272.00	Facility		$515.00	$2,307.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $490.17 / $727.36 / $1,198.08	Professional		$490.17	$727.36	$1,198.08