Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $771.40 / $771.40 / $2,149.56	Facility		$771.40	$771.40	$2,149.56
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 $597.60 / $1,259.67 / $1,487.52	Facility		$597.60	$1,259.67	$1,487.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $1,160.00 / $2,285.19	Professional		$270.00	$1,160.00	$2,285.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,197.94 / $1,737.01 / $2,574.73	Facility		$1,197.94	$1,737.01	$2,574.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,194.20 / $1,885.00 / $3,219.05	Facility		$1,194.20	$1,885.00	$3,219.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.36 / $597.10 / $99,999.77	Professional		$528.36	$597.10	$99,999.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,078.15 / $1,701.07 / $2,637.00	Professional		$1,078.15	$1,701.07	$2,637.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,403.60 / $1,635.60 / $2,216.19	Professional		$1,403.60	$1,635.60	$2,216.19
United Facility/Professional Professional Modifier Low / Median / High Price $487.20 / $696.00 / $2,096.98	Professional		$487.20	$696.00	$2,096.98