Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.87 / $2,987.00 / $6,915.00	Facility		$162.87	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.72 / $175.73 / $307.27	Professional		$94.72	$175.73	$307.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $775.91 / $2,557.00 / $5,240.56	Facility		$775.91	$2,557.00	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.99 / $131.43 / $260.92	Professional		$92.99	$131.43	$260.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $161.69 / $195.63 / $74,999.25	Facility		$161.69	$195.63	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.22 / $155.27 / $630.00	Facility		$124.22	$155.27	$630.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.25 / $198.26 / $423.07	Professional		$104.25	$198.26	$423.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.80 / $219.20 / $741.08	Professional		$106.80	$219.20	$741.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $266.13 / $266.13 / $269.14	Professional		$266.13	$266.13	$269.14
United Facility/Professional Facility Modifier Low / Median / High Price $410.00 / $2,300.00 / $4,066.00	Facility		$410.00	$2,300.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $137.44 / $212.16 / $378.80	Professional		$137.44	$212.16	$378.80