Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.37 / $2,987.00 / $6,915.00	Facility		$199.37	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.53 / $199.37 / $410.18	Professional		$167.53	$199.37	$410.18
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 $177.56 / $252.79 / $461.08	Professional		$177.56	$252.79	$461.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $306.08 / $374.13 / $508.94	Facility		$306.08	$374.13	$508.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.44 / $302.42 / $2,500.00	Facility		$166.44	$302.42	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.53 / $287.06 / $473.50	Professional		$186.53	$287.06	$473.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.26 / $279.99 / $489.06	Professional		$204.26	$279.99	$489.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $243.50 / $306.52 / $352.09	Professional		$243.50	$306.52	$352.09
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 $170.87 / $272.20 / $448.37	Professional		$170.87	$272.20	$448.37