Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.21 / $2,987.00 / $6,915.00	Facility		$238.21	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.61 / $235.94 / $443.22	Professional		$140.61	$235.94	$443.22
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 $182.82 / $297.73 / $511.42	Professional		$182.82	$297.73	$511.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $351.00 / $351.00 / $351.00	Facility		$351.00	$351.00	$351.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $126.91 / $126.91 / $126.91	Professional		$126.91	$126.91	$126.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.87 / $338.00 / $546.00	Facility		$169.87	$338.00	$546.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.40 / $276.18 / $505.11	Professional		$163.40	$276.18	$505.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.53 / $250.14 / $380.64	Professional		$158.53	$250.14	$380.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $452.80 / $626.50	Professional		$5.00	$452.80	$626.50
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 $220.73 / $311.33 / $509.90	Professional		$220.73	$311.33	$509.90