Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $664.74 / $4,368.00 / $6,915.00	Facility		$664.74	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $429.37 / $558.57 / $990.97	Professional		$429.37	$558.57	$990.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.00 / $2,292.94 / $5,240.56	Facility		$869.00	$2,292.94	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $464.23 / $720.37 / $1,363.95	Professional		$464.23	$720.37	$1,363.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $898.59 / $994.86 / $1,478.03	Facility		$898.59	$994.86	$1,478.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $582.90 / $582.90 / $1,272.50	Facility		$582.90	$582.90	$1,272.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.74 / $760.23 / $1,372.08	Professional		$457.74	$760.23	$1,372.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $593.19 / $773.94 / $1,491.74	Professional		$593.19	$773.94	$1,491.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $828.80 / $939.44 / $1,041.31	Professional		$828.80	$939.44	$1,041.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $420.40 / $617.91 / $1,203.39	Professional		$420.40	$617.91	$1,203.39