Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.74 / $2,760.00 / $6,915.00	Facility		$193.74	$2,760.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.65 / $200.41 / $307.89	Professional		$94.65	$200.41	$307.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,954.16 / $4,819.75	Facility		$450.00	$1,954.16	$4,819.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.79 / $213.65 / $441.27	Professional		$106.79	$213.65	$441.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $238.82 / $238.82 / $238.82	Facility		$238.82	$238.82	$238.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.85 / $93.85 / $93.85	Professional		$93.85	$93.85	$93.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.00 / $551.00 / $2,880.00	Facility		$338.00	$551.00	$2,880.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.40 / $213.48 / $439.00	Professional		$111.40	$213.48	$439.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.87 / $233.85 / $373.52	Professional		$114.87	$233.85	$373.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $110.41 / $236.89 / $514.29	Professional		$110.41	$236.89	$514.29
United Facility/Professional Facility Modifier Low / Median / High Price $576.00 / $3,895.00 / $6,995.00	Facility		$576.00	$3,895.00	$6,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.90 / $256.77 / $483.96	Professional		$172.90	$256.77	$483.96