Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.28 / $2,987.00 / $6,915.00	Facility		$82.28	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.50 / $87.35 / $223.70	Professional		$45.50	$87.35	$223.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,139.92 / $4,143.39	Facility		$734.14	$2,139.92	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.56 / $88.53 / $183.91	Professional		$43.56	$88.53	$183.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.45 / $90.32 / $130.16	Facility		$56.45	$90.32	$130.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.75 / $74.15 / $640.00	Facility		$66.75	$74.15	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.25 / $147.94 / $266.72	Professional		$71.25	$147.94	$266.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.65 / $100.59 / $225.25	Professional		$53.65	$100.59	$225.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.90 / $77.17 / $143.15	Professional		$53.90	$77.17	$143.15
United Facility/Professional Facility Modifier Low / Median / High Price $426.00 / $2,360.00 / $4,066.00	Facility		$426.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.12 / $141.91 / $247.96	Professional		$64.12	$141.91	$247.96