Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.06 / $3,391.00 / $6,915.00	Facility		$788.06	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $443.51 / $529.91 / $954.88	Professional		$443.51	$529.91	$954.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $722.00 / $3,142.00 / $8,028.57	Facility		$722.00	$3,142.00	$8,028.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $479.24 / $768.55 / $1,299.10	Professional		$479.24	$768.55	$1,299.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $724.17 / $724.17 / $724.17	Facility		$724.17	$724.17	$724.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $451.90 / $451.90 / $451.90	Professional		$451.90	$451.90	$451.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $1,315.00 / $3,685.16	Facility		$512.00	$1,315.00	$3,685.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $459.23 / $725.61 / $1,186.19	Professional		$459.23	$725.61	$1,186.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $481.80 / $626.34 / $1,544.83	Professional		$481.80	$626.34	$1,544.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $801.40 / $1,210.30	Professional		$5.00	$801.40	$1,210.30
United Facility/Professional Facility Modifier Low / Median / High Price $576.00 / $3,895.00 / $6,995.00	Facility		$576.00	$3,895.00	$6,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $459.43 / $652.87 / $1,164.84	Professional		$459.43	$652.87	$1,164.84