Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $510.24 / $510.24 / $1,212.00	Facility		$510.24	$510.24	$1,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.88 / $566.73 / $716.12	Professional		$430.88	$566.73	$716.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,074.42 / $1,504.19 / $3,943.12	Facility		$1,074.42	$1,504.19	$3,943.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $526.17 / $893.36 / $1,715.25	Professional		$526.17	$893.36	$1,715.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $743.35 / $913.26 / $1,987.68	Facility		$743.35	$913.26	$1,987.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $913.26 / $913.26 / $913.26	Professional		$913.26	$913.26	$913.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $565.73 / $565.73 / $565.73	Facility		$565.73	$565.73	$565.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.98 / $553.57 / $1,014.00	Professional		$412.98	$553.57	$1,014.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $816.56 / $1,074.42 / $1,492.30	Professional		$816.56	$1,074.42	$1,492.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $892.02 / $1,374.50 / $1,987.68	Professional		$892.02	$1,374.50	$1,987.68
United Facility/Professional Professional Modifier Low / Median / High Price $357.34 / $525.90 / $884.32	Professional		$357.34	$525.90	$884.32