Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.13 / $3,295.00 / $6,915.00	Facility		$262.13	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.89 / $259.87 / $415.63	Professional		$177.89	$259.87	$415.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $746.52 / $2,085.16 / $3,851.83	Facility		$746.52	$2,085.16	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.83 / $283.47 / $533.84	Professional		$189.83	$283.47	$533.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $353.08 / $353.08 / $353.08	Facility		$353.08	$353.08	$353.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.19 / $327.19 / $860.00	Facility		$327.19	$327.19	$860.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.77 / $325.20 / $610.40	Professional		$214.77	$325.20	$610.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $236.20 / $328.06 / $729.79	Professional		$236.20	$328.06	$729.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $306.14 / $370.95 / $466.84	Professional		$306.14	$370.95	$466.84
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 $212.36 / $325.60 / $586.80	Professional		$212.36	$325.60	$586.80