Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.12 / $5,045.00 / $6,915.00	Facility		$106.12	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $118.91 / $260.18	Professional		$98.16	$118.91	$260.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $268.57 / $1,185.74 / $3,784.98	Facility		$268.57	$1,185.74	$3,784.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.45 / $166.62 / $293.42	Professional		$105.45	$166.62	$293.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $162.68 / $162.68 / $162.68	Facility		$162.68	$162.68	$162.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.82 / $99.82 / $99.82	Professional		$99.82	$99.82	$99.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $589.00 / $835.00	Facility		$200.00	$589.00	$835.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.78 / $171.53 / $258.89	Professional		$111.78	$171.53	$258.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.86 / $136.32 / $336.29	Professional		$104.86	$136.32	$336.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $195.00 / $264.80	Professional		$27.40	$195.00	$264.80
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $2,969.00 / $9,079.00	Facility		$400.00	$2,969.00	$9,079.00
United Facility/Professional Professional Modifier Low / Median / High Price $103.48 / $147.10 / $275.32	Professional		$103.48	$147.10	$275.32