Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $526.75 / $3,295.00 / $6,915.00	Facility		$526.75	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.69 / $516.19 / $819.97	Professional		$398.69	$516.19	$819.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $746.52 / $2,292.94 / $5,084.83	Facility		$746.52	$2,292.94	$5,084.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $397.81 / $545.40 / $998.60	Professional		$397.81	$545.40	$998.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $684.18 / $837.30 / $74,999.25	Facility		$684.18	$837.30	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $551.00 / $1,119.77 / $1,410.08	Facility		$551.00	$1,119.77	$1,410.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $386.86 / $584.73 / $1,088.04	Professional		$386.86	$584.73	$1,088.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.11 / $635.98 / $3,184.78	Professional		$457.11	$635.98	$3,184.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $583.22 / $702.98 / $1,421.70	Professional		$583.22	$702.98	$1,421.70
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 $434.62 / $566.15 / $1,068.38	Professional		$434.62	$566.15	$1,068.38