Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.76 / $3,690.73 / $6,915.00	Facility		$364.76	$3,690.73	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.04 / $407.67 / $855.45	Professional		$324.04	$407.67	$855.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,139.92 / $4,143.39	Facility		$734.14	$2,139.92	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.85 / $506.61 / $939.59	Professional		$350.85	$506.61	$939.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $551.08 / $551.08 / $551.08	Facility		$551.08	$551.08	$551.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.09 / $613.67 / $2,500.00	Facility		$196.09	$613.67	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.77 / $537.99 / $948.69	Professional		$349.77	$537.99	$948.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $418.62 / $540.52 / $1,004.67	Professional		$418.62	$540.52	$1,004.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $476.15 / $589.33 / $712.54	Professional		$476.15	$589.33	$712.54
United Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $1,550.00 / $2,665.00	Facility		$175.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $335.22 / $502.50 / $919.67	Professional		$335.22	$502.50	$919.67