Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $698.25 / $1,865.11 / $3,328.50	Facility		$698.25	$1,865.11	$3,328.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.00 / $840.00 / $1,173.06	Professional		$630.00	$840.00	$1,173.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $683.80 / $1,160.25 / $3,633.00	Facility		$683.80	$1,160.25	$3,633.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $420.00 / $1,302.00	Professional		$315.00	$420.00	$1,302.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $948.15 / $1,470.00 / $2,058.00	Facility		$948.15	$1,470.00	$2,058.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $556.50 / $2,310.00 / $2,372.65	Facility		$556.50	$2,310.00	$2,372.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $521.63 / $1,410.44 / $3,222.08	Professional		$521.63	$1,410.44	$3,222.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,050.00 / $1,365.00 / $8,183.55	Professional		$1,050.00	$1,365.00	$8,183.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,270.50 / $1,470.00 / $1,942.50	Professional		$1,270.50	$1,470.00	$1,942.50
United Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $945.00 / $945.00	Facility		$945.00	$945.00	$945.00
United Facility/Professional Professional Modifier Low / Median / High Price $441.00 / $625.41 / $1,511.41	Professional		$441.00	$625.41	$1,511.41