Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.81 / $4,310.63 / $6,726.00	Facility		$374.81	$4,310.63	$6,726.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.94 / $398.43 / $757.32	Professional		$204.94	$398.43	$757.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $318.32 / $541.15 / $703.87	Professional		$318.32	$541.15	$703.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $875.94 / $2,260.19 / $3,862.88	Facility		$875.94	$2,260.19	$3,862.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $283.91 / $440.45 / $779.29	Professional		$283.91	$440.45	$779.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $240.33 / $302.88 / $972.86	Facility		$240.33	$302.88	$972.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $380.57 / $451.81 / $475.91	Professional		$380.57	$451.81	$475.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.99 / $454.82 / $887.20	Professional		$295.99	$454.82	$887.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $277.64 / $451.81 / $637.14	Professional		$277.64	$451.81	$637.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $277.64 / $440.70 / $675.47	Professional		$277.64	$440.70	$675.47
United Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,580.00 / $2,665.00	Facility		$353.00	$1,580.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $367.21 / $553.20 / $974.52	Professional		$367.21	$553.20	$974.52