Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.17 / $2,595.00 / $6,915.00	Facility		$334.17	$2,595.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.84 / $334.17 / $671.91	Professional		$219.84	$334.17	$671.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,825.00 / $4,819.75	Facility		$450.00	$1,825.00	$4,819.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.80 / $445.88 / $757.75	Professional		$268.80	$445.88	$757.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $498.70 / $498.70 / $498.70	Facility		$498.70	$498.70	$498.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $203.91 / $203.91 / $203.91	Professional		$203.91	$203.91	$203.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.00 / $535.00 / $830.39	Facility		$338.00	$535.00	$830.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.77 / $428.22 / $724.12	Professional		$268.77	$428.22	$724.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $253.97 / $370.78 / $579.88	Professional		$253.97	$370.78	$579.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $682.70 / $870.60	Professional		$5.00	$682.70	$870.60
United Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $2,307.00 / $5,272.00	Facility		$515.00	$2,307.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $322.88 / $466.65 / $738.35	Professional		$322.88	$466.65	$738.35