Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $505.09 / $1,363.00 / $2,407.71	Facility		$505.09	$1,363.00	$2,407.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.72 / $660.07 / $729.15	Professional		$455.72	$660.07	$729.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $494.64 / $835.48 / $2,627.97	Facility		$494.64	$835.48	$2,627.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.85 / $303.81 / $941.81	Professional		$227.85	$303.81	$941.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $571.54 / $1,063.33 / $1,488.68	Facility		$571.54	$1,063.33	$1,488.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $424.41 / $1,486.17 / $1,670.97	Facility		$424.41	$1,486.17	$1,670.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.98 / $934.23 / $2,018.24	Professional		$345.98	$934.23	$2,018.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $759.53 / $1,041.94 / $5,920.76	Professional		$759.53	$1,041.94	$5,920.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $919.03 / $1,063.33 / $1,405.13	Professional		$919.03	$1,063.33	$1,405.13
United Facility/Professional Professional Modifier Low / Median / High Price $45.72 / $391.76 / $1,073.75	Professional		$45.72	$391.76	$1,073.75