Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.04 / $2,760.00 / $6,915.00	Facility		$177.04	$2,760.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.15 / $274.11 / $474.15	Professional		$93.15	$274.11	$474.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,825.00 / $4,819.75	Facility		$450.00	$1,825.00	$4,819.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $286.50 / $671.72	Professional		$126.60	$286.50	$671.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $450.47 / $450.47 / $450.47	Facility		$450.47	$450.47	$450.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.22 / $89.22 / $89.22	Professional		$89.22	$89.22	$89.22
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 $114.38 / $255.51 / $632.35	Professional		$114.38	$255.51	$632.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.25 / $313.64 / $470.48	Professional		$109.25	$313.64	$470.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $360.70 / $594.00	Professional		$134.88	$360.70	$594.00
United Facility/Professional Facility Modifier Low / Median / High Price $624.00 / $3,512.00 / $6,575.00	Facility		$624.00	$3,512.00	$6,575.00
United Facility/Professional Professional Modifier Low / Median / High Price $267.77 / $384.77 / $666.11	Professional		$267.77	$384.77	$666.11