Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $558.59 / $5,045.00 / $6,915.00	Facility		$558.59	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $511.21 / $610.83 / $1,089.42	Professional		$511.21	$610.83	$1,089.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.95 / $3,595.87 / $8,313.99	Facility		$659.95	$3,595.87	$8,313.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $555.63 / $806.49 / $1,388.86	Professional		$555.63	$806.49	$1,388.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $704.58 / $704.58 / $704.58	Facility		$704.58	$704.58	$704.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $516.34 / $516.34 / $516.34	Professional		$516.34	$516.34	$516.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $835.00	Facility		$200.00	$617.00	$835.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $503.93 / $814.48 / $1,301.94	Professional		$503.93	$814.48	$1,301.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $555.63 / $722.32 / $1,198.21	Professional		$555.63	$722.32	$1,198.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $896.80 / $1,437.60	Professional		$5.00	$896.80	$1,437.60
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $2,969.00 / $9,079.00	Facility		$400.00	$2,969.00	$9,079.00
United Facility/Professional Professional Modifier Low / Median / High Price $490.51 / $691.60 / $1,257.23	Professional		$490.51	$691.60	$1,257.23