Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.72 / $2,987.00 / $6,915.00	Facility		$243.72	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.59 / $289.35 / $487.30	Professional		$181.59	$289.35	$487.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,922.10 / $4,819.75	Facility		$450.00	$1,922.10	$4,819.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.04 / $350.98 / $630.61	Professional		$192.04	$350.98	$630.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $264.17 / $264.17 / $264.17	Facility		$264.17	$264.17	$264.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $168.87 / $168.87 / $168.87	Professional		$168.87	$168.87	$168.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.51 / $384.00 / $546.00	Facility		$277.51	$384.00	$546.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.80 / $318.73 / $614.44	Professional		$178.80	$318.73	$614.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $217.10 / $293.27 / $513.22	Professional		$217.10	$293.27	$513.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $487.80 / $863.40	Professional		$5.00	$487.80	$863.40
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 $225.01 / $334.88 / $632.67	Professional		$225.01	$334.88	$632.67