Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.41 / $2,987.00 / $6,915.00	Facility		$60.41	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.95 / $67.26 / $130.00	Professional		$43.95	$67.26	$130.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.09 / $107.47 / $119.86	Professional		$68.09	$107.47	$119.86
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 $47.92 / $75.54 / $134.32	Professional		$47.92	$75.54	$134.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $52.69 / $176.37	Facility		$42.13	$52.69	$176.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.56 / $74.91 / $79.58	Professional		$63.56	$74.91	$79.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.80 / $69.18 / $133.52	Professional		$41.80	$69.18	$133.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.30 / $74.91 / $95.79	Professional		$48.30	$74.91	$95.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.30 / $74.39 / $112.66	Professional		$48.30	$74.39	$112.66
United Facility/Professional Facility Modifier Low / Median / High Price $389.00 / $1,550.00 / $2,506.00	Facility		$389.00	$1,550.00	$2,506.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.96 / $89.38 / $161.57	Professional		$58.96	$89.38	$161.57