Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.00 / $318.00 / $318.00	Facility		$318.00	$318.00	$318.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $333.90	Professional		$318.00	$318.00	$333.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $333.77	Professional		$318.00	$318.00	$333.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $318.00 / $318.00 / $623.28	Facility		$318.00	$318.00	$623.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $300.00 / $318.00	Facility		$300.00	$300.00	$318.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $405.00	Professional		$318.00	$318.00	$405.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $370.86 / $370.86 / $1,631.00	Professional		$370.86	$370.86	$1,631.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $192.97 / $239.19 / $588.29	Professional		$192.97	$239.19	$588.29
United Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $524.70	Professional		$318.00	$318.00	$524.70