Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $760.61 / $4,613.00 / $6,915.00	Facility		$760.61	$4,613.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.02 / $528.79 / $981.55	Professional		$446.02	$528.79	$981.55
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 $482.93 / $734.16 / $1,259.04	Professional		$482.93	$734.16	$1,259.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $607.52 / $607.52 / $607.52	Facility		$607.52	$607.52	$607.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $447.79 / $447.79 / $447.79	Professional		$447.79	$447.79	$447.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $703.00 / $1,765.90	Facility		$512.00	$703.00	$1,765.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.84 / $731.76 / $1,106.50	Professional		$427.84	$731.76	$1,106.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $482.93 / $627.80 / $1,188.68	Professional		$482.93	$627.80	$1,188.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $555.37 / $755.87 / $918.10	Professional		$555.37	$755.87	$918.10
United Facility/Professional Facility Modifier Low / Median / High Price $615.00 / $2,687.00 / $6,953.00	Facility		$615.00	$2,687.00	$6,953.00
United Facility/Professional Professional Modifier Low / Median / High Price $424.35 / $593.41 / $1,077.28	Professional		$424.35	$593.41	$1,077.28