Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.28 / $2,987.00 / $6,915.00	Facility		$152.28	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.27 / $152.29 / $324.37	Professional		$94.27	$152.29	$324.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $1,729.39 / $3,784.98	Facility		$480.00	$1,729.39	$3,784.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.59 / $191.51 / $299.27	Professional		$114.59	$191.51	$299.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $230.49 / $230.49 / $230.49	Facility		$230.49	$230.49	$230.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.98 / $85.98 / $85.98	Professional		$85.98	$85.98	$85.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $412.36 / $631.54 / $3,200.00	Facility		$412.36	$631.54	$3,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.46 / $200.00 / $335.78	Professional		$110.46	$200.00	$335.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.42 / $166.61 / $485.00	Professional		$105.42	$166.61	$485.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $166.61 / $264.88	Professional		$126.00	$166.61	$264.88
United Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $699.00 / $2,665.00	Facility		$80.00	$699.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $133.76 / $196.08 / $324.29	Professional		$133.76	$196.08	$324.29