Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $5,370.32 / $9,549.93	Facility		$190.55	$5,370.32	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $125.89 / $245.47	Professional		$102.33	$125.89	$245.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $3,162.28 / $6,760.83	Facility		$851.14	$3,162.28	$6,760.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $190.55 / $323.59	Professional		$123.03	$190.55	$323.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $630.96 / $831.76	Facility		$512.86	$630.96	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $275.42	Professional		$114.82	$162.18	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $134.90 / $758.58	Professional		$104.71	$134.90	$758.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $223.87 / $275.42	Professional		$199.53	$223.87	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $2,511.89 / $7,079.46	Facility		$398.11	$2,511.89	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $141.25 / $245.47	Professional		$104.71	$141.25	$245.47