Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.13 / $4,368.00 / $6,915.00	Facility		$264.13	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.13 / $205.79 / $365.67	Professional		$156.13	$205.79	$365.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $582.00 / $1,200.42 / $2,098.00	Facility		$582.00	$1,200.42	$2,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.09 / $266.98 / $498.79	Professional		$171.09	$266.98	$498.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $297.57 / $297.57 / $297.57	Facility		$297.57	$297.57	$297.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.62 / $203.62 / $2,500.00	Facility		$203.62	$203.62	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.67 / $291.76 / $477.60	Professional		$183.67	$291.76	$477.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $202.94 / $282.35 / $510.34	Professional		$202.94	$282.35	$510.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $261.27 / $321.64 / $728.94	Professional		$261.27	$321.64	$728.94
United Facility/Professional Facility Modifier Low / Median / High Price $384.00 / $1,550.00 / $2,665.00	Facility		$384.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $160.44 / $250.26 / $459.75	Professional		$160.44	$250.26	$459.75