Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.87 / $4,368.00 / $6,915.00	Facility		$463.87	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.35 / $313.16 / $801.94	Professional		$253.35	$313.16	$801.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,034.84 / $3,640.00 / $8,545.91	Facility		$1,034.84	$3,640.00	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.36 / $410.22 / $867.60	Professional		$255.36	$410.22	$867.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $478.26 / $528.24 / $811.22	Facility		$478.26	$528.24	$811.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,186.00 / $6,918.00 / $9,852.00	Facility		$4,186.00	$6,918.00	$9,852.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.70 / $475.76 / $807.83	Professional		$302.70	$475.76	$807.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $250.53 / $325.69 / $1,958.64	Professional		$250.53	$325.69	$1,958.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $374.23 / $382.61 / $415.88	Professional		$374.23	$382.61	$415.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $273.70 / $465.89 / $1,498.87	Professional		$273.70	$465.89	$1,498.87