Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $399.00 / $849.87 / $1,902.00	Facility		$399.00	$849.87	$1,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.21 / $436.98 / $670.32	Professional		$63.21	$436.98	$670.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.40 / $651.54 / $2,076.00	Facility		$398.40	$651.54	$2,076.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $540.00 / $1,033.80	Professional		$180.00	$540.00	$1,033.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $870.00 / $1,289.57	Facility		$600.00	$870.00	$1,289.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $598.23 / $1,057.45 / $1,850.56	Facility		$598.23	$1,057.45	$1,850.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.08 / $517.05 / $1,794.68	Professional		$276.08	$517.05	$1,794.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $822.60 / $4,677.88	Professional		$600.00	$822.60	$4,677.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $726.00 / $840.00 / $1,110.00	Professional		$726.00	$840.00	$1,110.00
United Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $540.00 / $600.00	Facility		$540.00	$540.00	$600.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $360.00 / $1,050.30	Professional		$252.00	$360.00	$1,050.30