Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.41 / $3,391.00 / $6,915.00	Facility		$270.41	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.40 / $275.64 / $421.17	Professional		$129.40	$275.64	$421.17
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 $171.98 / $311.68 / $565.36	Professional		$171.98	$311.68	$565.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $121.10 / $121.10 / $121.10	Professional		$121.10	$121.10	$121.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.00 / $887.87 / $1,233.00	Facility		$506.00	$887.87	$1,233.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.43 / $317.45 / $668.48	Professional		$164.43	$317.45	$668.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.43 / $321.12 / $1,040.69	Professional		$148.43	$321.12	$1,040.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $831.20	Professional		$5.00	$5.00	$831.20
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 $271.60 / $434.67 / $721.94	Professional		$271.60	$434.67	$721.94