Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $319.14 / $2,987.00 / $6,915.00	Facility		$319.14	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.13 / $387.27 / $607.41	Professional		$156.13	$387.27	$607.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,825.00 / $4,819.75	Facility		$450.00	$1,825.00	$4,819.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.07 / $412.70 / $862.55	Professional		$206.07	$412.70	$862.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $576.48 / $576.48 / $576.48	Facility		$576.48	$576.48	$576.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $145.58 / $145.58 / $145.58	Professional		$145.58	$145.58	$145.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $334.00 / $535.00 / $1,091.58	Facility		$334.00	$535.00	$1,091.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.64 / $393.22 / $856.39	Professional		$192.64	$393.22	$856.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $178.14 / $439.64 / $687.65	Professional		$178.14	$439.64	$687.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $740.90 / $1,171.40	Professional		$5.00	$740.90	$1,171.40
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 $368.04 / $536.25 / $865.98	Professional		$368.04	$536.25	$865.98