Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $771.40 / $2,081.65 / $3,980.90	Facility		$771.40	$2,081.65	$3,980.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $771.40 / $1,009.20 / $1,295.95	Professional		$771.40	$1,009.20	$1,295.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $951.20 / $1,368.80 / $4,013.60	Facility		$951.20	$1,368.80	$4,013.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $464.00 / $1,160.00 / $2,215.60	Professional		$464.00	$1,160.00	$2,215.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,160.00 / $1,682.00 / $2,493.17	Facility		$1,160.00	$1,682.00	$2,493.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,156.47 / $1,885.00 / $3,576.72	Facility		$1,156.47	$1,885.00	$3,576.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $578.23 / $1,902.40 / $6,529.32	Professional		$578.23	$1,902.40	$6,529.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,044.00 / $1,508.00 / $9,040.31	Professional		$1,044.00	$1,508.00	$9,040.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,403.60 / $1,624.00 / $2,146.00	Professional		$1,403.60	$1,624.00	$2,146.00
United Facility/Professional Professional Modifier Low / Median / High Price $487.20 / $696.00 / $2,030.58	Professional		$487.20	$696.00	$2,030.58