Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $505.60 / $4,126.00 / $6,915.00	Facility		$505.60	$4,126.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.33 / $327.43 / $662.32	Professional		$272.33	$327.43	$662.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $568.00 / $2,081.07 / $4,819.75	Facility		$568.00	$2,081.07	$4,819.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.58 / $460.23 / $766.35	Professional		$275.58	$460.23	$766.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $455.59 / $455.59 / $455.59	Facility		$455.59	$455.59	$455.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $257.88 / $257.88 / $257.88	Professional		$257.88	$257.88	$257.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $448.00 / $715.00 / $1,091.58	Facility		$448.00	$715.00	$1,091.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.89 / $473.87 / $678.00	Professional		$310.89	$473.87	$678.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $273.62 / $355.71 / $821.50	Professional		$273.62	$355.71	$821.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $526.20 / $705.20	Professional		$5.00	$526.20	$705.20
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 $278.27 / $402.98 / $661.53	Professional		$278.27	$402.98	$661.53