Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.45 / $2,950.00 / $6,726.00	Facility		$230.45	$2,950.00	$6,726.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.20 / $144.31 / $286.51	Professional		$80.20	$144.31	$286.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.37 / $2,722.51 / $5,292.58	Facility		$996.37	$2,722.51	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.55 / $167.60 / $288.48	Professional		$104.55	$167.60	$288.48
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $156.83 / $251.40 / $432.72	Professional	50	$156.83	$251.40	$432.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $88.31 / $109.49 / $347.34	Facility		$88.31	$109.49	$347.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $144.29 / $169.90 / $180.04	Professional		$144.29	$169.90	$180.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.32 / $154.82 / $302.94	Professional		$89.32	$154.82	$302.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.36 / $169.90 / $492.00	Professional		$100.36	$169.90	$492.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $132.56 / $197.46 / $272.85	Professional		$132.56	$197.46	$272.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,036.00 / $3,250.00 / $5,272.00	Facility		$1,036.00	$3,250.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $145.33 / $228.03 / $353.74	Professional		$145.33	$228.03	$353.74