Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $774.72 / $4,829.00 / $6,915.00	Facility		$774.72	$4,829.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $551.80 / $690.63 / $1,034.02	Professional		$551.80	$690.63	$1,034.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $992.53 / $2,669.65 / $5,084.83	Facility		$992.53	$2,669.65	$5,084.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $510.77 / $746.44 / $1,391.88	Professional		$510.77	$746.44	$1,391.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $954.62 / $1,165.82 / $74,999.25	Facility		$954.62	$1,165.82	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $778.00 / $1,119.77 / $1,410.08	Facility		$778.00	$1,119.77	$1,410.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.69 / $770.60 / $1,483.44	Professional		$507.69	$770.60	$1,483.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $608.80 / $884.06 / $4,449.51	Professional		$608.80	$884.06	$4,449.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $718.39 / $824.65 / $938.58	Professional		$718.39	$824.65	$938.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,180.00 / $4,581.00 / $7,647.00	Facility		$1,180.00	$4,581.00	$7,647.00
United Facility/Professional Professional Modifier Low / Median / High Price $516.79 / $669.02 / $1,235.19	Professional		$516.79	$669.02	$1,235.19