Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.92 / $5,063.00 / $7,391.00	Facility		$1,002.92	$5,063.00	$7,391.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $697.25 / $882.75 / $1,406.14	Professional		$697.25	$882.75	$1,406.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,132.49 / $3,116.30 / $6,271.28	Facility		$1,132.49	$3,116.30	$6,271.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $628.98 / $940.92 / $1,754.50	Professional		$628.98	$940.92	$1,754.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,213.55 / $1,472.13 / $74,999.25	Facility		$1,213.55	$1,472.13	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $886.00 / $1,732.09 / $2,181.15	Facility		$886.00	$1,732.09	$2,181.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $643.26 / $997.94 / $1,847.52	Professional		$643.26	$997.94	$1,847.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $768.76 / $1,118.19 / $5,647.81	Professional		$768.76	$1,118.19	$5,647.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $915.52 / $1,090.24 / $1,397.74	Professional		$915.52	$1,090.24	$1,397.74
United Facility/Professional Facility Modifier Low / Median / High Price $990.00 / $6,000.00 / $8,554.00	Facility		$990.00	$6,000.00	$8,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $643.66 / $884.28 / $1,628.38	Professional		$643.66	$884.28	$1,628.38