Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.23 / $3,391.00 / $6,915.00	Facility		$191.23	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.24 / $119.86 / $227.55	Professional		$102.24	$119.86	$227.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,635.81 / $3,784.98	Facility		$450.00	$1,635.81	$3,784.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.06 / $177.79 / $304.74	Professional		$104.06	$177.79	$304.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $171.81 / $171.81 / $171.81	Facility		$171.81	$171.81	$171.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $96.86 / $96.86 / $96.86	Professional		$96.86	$96.86	$96.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $334.00 / $535.00 / $652.00	Facility		$334.00	$535.00	$652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.94 / $178.00 / $265.20	Professional		$120.94	$178.00	$265.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.43 / $133.16 / $294.11	Professional		$102.43	$133.16	$294.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $200.30 / $264.60	Professional		$5.00	$200.30	$264.60
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 $104.86 / $149.75 / $248.20	Professional		$104.86	$149.75	$248.20