Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.01 / $4,368.00 / $6,915.00	Facility		$199.01	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.00 / $131.80 / $238.56	Professional		$106.00	$131.80	$238.56
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 $113.15 / $177.24 / $329.18	Professional		$113.15	$177.24	$329.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $196.11 / $196.11 / $196.11	Facility		$196.11	$196.11	$196.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.16 / $130.16 / $2,500.00	Facility		$130.16	$130.16	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.47 / $188.02 / $345.32	Professional		$122.47	$188.02	$345.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.12 / $185.21 / $327.20	Professional		$130.12	$185.21	$327.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $169.98 / $201.93 / $468.45	Professional		$169.98	$201.93	$468.45
United Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $1,550.00 / $2,665.00	Facility		$175.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $103.99 / $166.47 / $293.77	Professional		$103.99	$166.47	$293.77