Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $696.96 / $3,460.00 / $6,915.00	Facility		$696.96	$3,460.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $496.05 / $715.39 / $1,169.14	Professional		$496.05	$715.39	$1,169.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $775.91 / $2,557.00 / $5,240.56	Facility		$775.91	$2,557.00	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $483.10 / $651.48 / $1,198.09	Professional		$483.10	$651.48	$1,198.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $825.89 / $1,002.45 / $74,999.25	Facility		$825.89	$1,002.45	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $411.00 / $472.00 / $594.36	Facility		$411.00	$472.00	$594.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $506.13 / $835.84 / $1,627.46	Professional		$506.13	$835.84	$1,627.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $547.29 / $863.51 / $3,858.35	Professional		$547.29	$863.51	$3,858.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $618.37 / $870.16 / $1,036.22	Professional		$618.37	$870.16	$1,036.22
United Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $3,100.00 / $5,272.00	Facility		$510.00	$3,100.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $646.77 / $863.56 / $1,492.92	Professional		$646.77	$863.56	$1,492.92