Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.18 / $5,063.00 / $9,488.00	Facility		$302.18	$5,063.00	$9,488.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.59 / $355.85 / $582.36	Professional		$209.59	$355.85	$582.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $957.17 / $2,444.57 / $4,875.60	Facility		$957.17	$2,444.57	$4,875.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.72 / $429.10 / $761.27	Professional		$246.72	$429.10	$761.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $410.36 / $410.36 / $410.36	Facility		$410.36	$410.36	$410.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $198.66 / $198.66 / $198.66	Professional		$198.66	$198.66	$198.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.00 / $1,315.00 / $1,761.45	Facility		$506.00	$1,315.00	$1,761.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.70 / $373.29 / $736.54	Professional		$230.70	$373.29	$736.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $249.19 / $374.81 / $635.42	Professional		$249.19	$374.81	$635.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $614.90 / $1,020.10	Professional		$5.00	$614.90	$1,020.10
United Facility/Professional Facility Modifier Low / Median / High Price $576.00 / $3,895.00 / $6,995.00	Facility		$576.00	$3,895.00	$6,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $424.63 / $765.34	Professional		$302.39	$424.63	$765.34