Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $388.96 / $931.51 / $1,854.13	Facility		$388.96	$931.51	$1,854.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.49 / $508.86 / $653.45	Professional		$368.49	$508.86	$653.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $422.15 / $722.10 / $2,023.75	Facility		$422.15	$722.10	$2,023.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.83 / $288.83 / $1,119.25	Professional		$288.83	$288.83	$1,119.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $584.90 / $848.11 / $1,257.11	Facility		$584.90	$848.11	$1,257.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $583.07 / $1,030.58 / $1,803.52	Facility		$583.07	$1,030.58	$1,803.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.08 / $531.08 / $1,749.21	Professional		$292.08	$531.08	$1,749.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $584.90 / $802.16 / $4,558.22	Professional		$584.90	$802.16	$4,558.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $707.73 / $818.86 / $1,082.07	Professional		$707.73	$818.86	$1,082.07
United Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $404.38 / $1,023.87	Professional		$245.66	$404.38	$1,023.87