Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.34 / $2,221.00 / $6,915.00	Facility		$242.34	$2,221.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.41 / $258.14 / $480.00	Professional		$131.41	$258.14	$480.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $170.56 / $234.56 / $398.76	Professional		$170.56	$234.56	$398.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,152.57 / $4,143.39	Facility		$759.49	$2,152.57	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.10 / $295.89 / $528.19	Professional		$190.10	$295.89	$528.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $179.56 / $227.29 / $714.04	Facility		$179.56	$227.29	$714.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $252.68 / $299.16 / $315.29	Professional		$252.68	$299.16	$315.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.60 / $269.45 / $533.25	Professional		$160.60	$269.45	$533.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.35 / $299.16 / $431.41	Professional		$208.35	$299.16	$431.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $207.05 / $301.55 / $445.84	Professional		$207.05	$301.55	$445.84
United Facility/Professional Facility Modifier Low / Median / High Price $772.00 / $2,360.00 / $4,066.00	Facility		$772.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $208.13 / $329.14 / $701.75	Professional		$208.13	$329.14	$701.75