Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.88 / $3,391.00 / $6,915.00	Facility		$201.88	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.30 / $143.43 / $273.92	Professional		$121.30	$143.43	$273.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,099.35 / $4,143.39	Facility		$759.49	$2,099.35	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.23 / $194.72 / $377.34	Professional		$123.23	$194.72	$377.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $184.58 / $184.58 / $184.58	Facility		$184.58	$184.58	$184.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $117.16 / $117.16 / $117.16	Professional		$117.16	$117.16	$117.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.06 / $142.06 / $142.06	Facility		$142.06	$142.06	$142.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.96 / $194.51 / $323.02	Professional		$129.96	$194.51	$323.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.42 / $159.15 / $453.82	Professional		$122.42	$159.15	$453.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $195.10 / $236.60 / $305.50	Professional		$195.10	$236.60	$305.50
United Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $1,550.00 / $2,665.00	Facility		$212.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.53 / $164.08 / $275.64	Professional		$119.53	$164.08	$275.64