Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.51 / $3,391.00 / $6,915.00	Facility		$78.51	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.99 / $45.44 / $107.40	Professional		$37.99	$45.44	$107.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,875.00 / $7,875.00 / $7,875.00	Facility		$7,875.00	$7,875.00	$7,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.69 / $67.22 / $115.93	Professional		$40.69	$67.22	$115.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.00 / $73.00 / $73.00	Facility		$73.00	$73.00	$73.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.88 / $36.88 / $36.88	Professional		$36.88	$36.88	$36.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.47 / $589.00 / $1,233.00	Facility		$44.47	$589.00	$1,233.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.91 / $71.88 / $130.69	Professional		$48.91	$71.88	$130.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.33 / $49.83 / $138.81	Professional		$38.33	$49.83	$138.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $78.09 / $93.40	Professional		$5.00	$78.09	$93.40
United Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $866.00 / $2,665.00	Facility		$77.00	$866.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.74 / $61.54 / $103.16	Professional		$38.74	$61.54	$103.16