Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.92 / $2,987.00 / $6,915.00	Facility		$310.92	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.51 / $330.44 / $527.05	Professional		$194.51	$330.44	$527.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $572.89 / $2,155.98 / $4,875.60	Facility		$572.89	$2,155.98	$4,875.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.52 / $383.79 / $708.00	Professional		$221.52	$383.79	$708.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $389.17 / $389.17 / $389.17	Facility		$389.17	$389.17	$389.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $185.33 / $185.33 / $185.33	Professional		$185.33	$185.33	$185.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $285.56 / $512.00 / $703.00	Facility		$285.56	$512.00	$703.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.59 / $363.29 / $687.59	Professional		$204.59	$363.29	$687.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $232.13 / $398.65 / $603.21	Professional		$232.13	$398.65	$603.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $558.29 / $953.60	Professional		$5.00	$558.29	$953.60
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 $293.27 / $399.36 / $739.57	Professional		$293.27	$399.36	$739.57