Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.75 / $5,045.00 / $6,915.00	Facility		$529.75	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.82 / $580.16 / $1,034.34	Professional		$454.82	$580.16	$1,034.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,634.62 / $5,292.58	Facility		$964.00	$2,634.62	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $486.60 / $747.33 / $1,497.88	Professional		$486.60	$747.33	$1,497.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $908.00 / $1,086.57 / $1,478.06	Facility		$908.00	$1,086.57	$1,478.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $586.41 / $586.41 / $1,272.50	Facility		$586.41	$586.41	$1,272.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $547.83 / $816.34 / $1,460.22	Professional		$547.83	$816.34	$1,460.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $593.20 / $825.33 / $1,491.77	Professional		$593.20	$825.33	$1,491.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $837.47 / $938.12 / $964.59	Professional		$837.47	$938.12	$964.59
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $456.15 / $716.45 / $1,340.88	Professional		$456.15	$716.45	$1,340.88