Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $984.00 / $4,700.00 / $7,866.19	Facility		$984.00	$4,700.00	$7,866.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.92 / $733.44 / $1,440.65	Professional		$569.92	$733.44	$1,440.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $629.58 / $1,250.09 / $1,361.10	Professional		$629.58	$1,250.09	$1,361.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $992.53 / $2,628.21 / $5,240.56	Facility		$992.53	$2,628.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $657.08 / $919.91 / $1,625.90	Professional		$657.08	$919.91	$1,625.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $618.37 / $785.40 / $2,446.01	Facility		$618.37	$785.40	$2,446.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $707.48 / $830.63 / $875.69	Professional		$707.48	$830.63	$875.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $553.54 / $798.02 / $1,466.80	Professional		$553.54	$798.02	$1,466.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $719.95 / $830.63 / $1,541.07	Professional		$719.95	$830.63	$1,541.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $817.99 / $990.47 / $1,210.83	Professional		$817.99	$990.47	$1,210.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,036.00 / $3,250.00 / $5,272.00	Facility		$1,036.00	$3,250.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $632.29 / $917.11 / $1,687.52	Professional		$632.29	$917.11	$1,687.52