Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $939.88 / $4,467.00 / $6,915.00	Facility		$939.88	$4,467.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $643.82 / $772.90 / $1,389.60	Professional		$643.82	$772.90	$1,389.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,063.95 / $2,706.44 / $5,292.58	Facility		$1,063.95	$2,706.44	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $692.39 / $1,081.17 / $1,889.18	Professional		$692.39	$1,081.17	$1,889.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $950.37 / $950.37 / $950.37	Facility		$950.37	$950.37	$950.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $638.37 / $638.37 / $638.37	Professional		$638.37	$638.37	$638.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $1,582.24 / $2,189.71	Facility		$512.00	$1,582.24	$2,189.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $643.37 / $1,057.13 / $1,664.26	Professional		$643.37	$1,057.13	$1,664.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $686.91 / $892.98 / $1,572.82	Professional		$686.91	$892.98	$1,572.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,242.90 / $1,813.80	Professional		$5.00	$1,242.90	$1,813.80
United Facility/Professional Facility Modifier Low / Median / High Price $576.00 / $3,895.00 / $6,995.00	Facility		$576.00	$3,895.00	$6,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $655.71 / $937.56 / $1,514.27	Professional		$655.71	$937.56	$1,514.27