Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $3,630.78 / $7,413.10	Facility		$186.21	$3,630.78	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $151.36 / $245.47	Professional		$102.33	$151.36	$245.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,737.80 / $3,467.37	Facility		$549.54	$1,737.80	$3,467.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $218.78 / $331.13	Professional		$134.90	$218.78	$331.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $416.87 / $549.54	Facility		$109.65	$416.87	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $186.21 / $331.13	Professional		$117.49	$186.21	$331.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $186.21 / $316.23	Professional		$120.23	$186.21	$316.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $338.84 / $407.38	Professional		$5.01	$338.84	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $1,230.27 / $2,344.23	Facility		$81.28	$1,230.27	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $169.82 / $302.00	Professional		$107.15	$169.82	$302.00