Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $728.50 / $3,391.00 / $6,915.00	Facility		$728.50	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.07 / $667.99 / $1,054.23	Professional		$535.07	$667.99	$1,054.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $606.69 / $2,262.42 / $5,084.83	Facility		$606.69	$2,262.42	$5,084.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $482.47 / $725.54 / $1,352.89	Professional		$482.47	$725.54	$1,352.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $920.42 / $1,129.20 / $74,999.25	Facility		$920.42	$1,129.20	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $411.00 / $1,325.29 / $1,668.88	Facility		$411.00	$1,325.29	$1,668.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $477.67 / $708.26 / $1,385.89	Professional		$477.67	$708.26	$1,385.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $589.69 / $806.45 / $4,326.35	Professional		$589.69	$806.45	$4,326.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $673.05 / $794.67 / $1,072.16	Professional		$673.05	$794.67	$1,072.16
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 $482.90 / $650.12 / $1,193.64	Professional		$482.90	$650.12	$1,193.64