Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.44 / $2,987.00 / $6,915.00	Facility		$98.44	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.86 / $93.33 / $173.78	Professional		$71.86	$93.33	$173.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $606.69 / $2,085.16 / $3,851.83	Facility		$606.69	$2,085.16	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.82 / $95.65 / $173.69	Professional		$62.82	$95.65	$173.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $121.53 / $145.65 / $74,999.25	Facility		$121.53	$145.65	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.51 / $51.89 / $411.00	Facility		$41.51	$51.89	$411.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.45 / $113.92 / $208.93	Professional		$71.45	$113.92	$208.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.51 / $108.29 / $563.14	Professional		$79.51	$108.29	$563.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $89.65 / $107.48 / $123.39	Professional		$89.65	$107.48	$123.39
United Facility/Professional Facility Modifier Low / Median / High Price $107.00 / $1,550.00 / $2,665.00	Facility		$107.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $108.97 / $196.65	Professional		$75.93	$108.97	$196.65