Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,659.59 / $3,019.95	Facility		$602.56	$1,659.59	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $724.44 / $1,023.29	Professional		$436.52	$724.44	$1,023.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $977.24 / $1,174.90	Facility		$354.81	$977.24	$1,174.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $354.81 / $812.83	Professional		$158.49	$354.81	$812.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,445.44 / $2,754.23	Facility		$177.83	$1,445.44	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,096.48 / $2,884.03	Professional		$407.38	$1,096.48	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,023.29 / $6,918.31	Professional		$812.83	$1,023.29	$6,918.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,096.48 / $1,905.46	Professional		$891.25	$1,096.48	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $812.83 / $891.25	Facility		$489.78	$812.83	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $537.03 / $1,174.90	Professional		$380.19	$537.03	$1,174.90