Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.77 / $2,987.00 / $6,915.00	Facility		$357.77	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.81 / $345.50 / $607.46	Professional		$216.81	$345.50	$607.46
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 $262.52 / $443.79 / $730.36	Professional		$262.52	$443.79	$730.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $430.81 / $430.81 / $430.81	Facility		$430.81	$430.81	$430.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $205.07 / $205.07 / $205.07	Professional		$205.07	$205.07	$205.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.71 / $512.00 / $703.00	Facility		$253.71	$512.00	$703.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.15 / $404.84 / $700.80	Professional		$244.15	$404.84	$700.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $254.25 / $398.15 / $769.02	Professional		$254.25	$398.15	$769.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $576.79 / $935.80	Professional		$5.00	$576.79	$935.80
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 $305.23 / $430.27 / $749.36	Professional		$305.23	$430.27	$749.36