Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.38 / $2,595.00 / $6,915.00	Facility		$175.38	$2,595.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.46 / $175.38 / $317.27	Professional		$131.46	$175.38	$317.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,680.87 / $3,784.98	Facility		$450.00	$1,680.87	$3,784.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.13 / $229.21 / $395.45	Professional		$147.13	$229.21	$395.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $228.23 / $228.23 / $228.23	Facility		$228.23	$228.23	$228.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $121.93 / $121.93 / $121.93	Professional		$121.93	$121.93	$121.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $299.30 / $412.36 / $546.00	Facility		$299.30	$412.36	$546.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.66 / $220.94 / $381.51	Professional		$140.66	$220.94	$381.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.38 / $199.92 / $312.26	Professional		$153.38	$199.92	$312.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $314.50 / $457.00	Professional		$5.00	$314.50	$457.00
United Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $866.00 / $2,665.00	Facility		$77.00	$866.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.66 / $221.41 / $402.79	Professional		$158.66	$221.41	$402.79