Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.76 / $4,592.00 / $6,915.00	Facility		$179.76	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.69 / $214.94 / $383.06	Professional		$131.69	$214.94	$383.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,634.62 / $5,292.58	Facility		$964.00	$2,634.62	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.97 / $204.65 / $383.87	Professional		$141.97	$204.65	$383.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $248.49 / $301.52 / $448.95	Facility		$248.49	$301.52	$448.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.82 / $243.10 / $640.00	Facility		$203.82	$243.10	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.16 / $256.93 / $459.20	Professional		$156.16	$256.93	$459.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $171.78 / $261.95 / $541.11	Professional		$171.78	$261.95	$541.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $229.19 / $342.33 / $403.84	Professional		$229.19	$342.33	$403.84
United Facility/Professional Facility Modifier Low / Median / High Price $426.00 / $2,360.00 / $4,066.00	Facility		$426.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $179.56 / $266.75 / $494.08	Professional		$179.56	$266.75	$494.08