Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $674.97 / $4,592.00 / $6,915.00	Facility		$674.97	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.75 / $628.41 / $950.16	Professional		$428.75	$628.41	$950.16
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 $419.97 / $587.95 / $1,097.48	Professional		$419.97	$587.95	$1,097.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $720.95 / $877.55 / $74,999.25	Facility		$720.95	$877.55	$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 $444.57 / $712.28 / $1,390.42	Professional		$444.57	$712.28	$1,390.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $479.10 / $816.20 / $3,340.14	Professional		$479.10	$816.20	$3,340.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $602.79 / $856.99 / $1,498.10	Professional		$602.79	$856.99	$1,498.10
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 $569.76 / $717.58 / $1,298.13	Professional		$569.76	$717.58	$1,298.13