Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.58 / $2,572.00 / $6,915.00	Facility		$153.58	$2,572.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.25 / $162.53 / $320.74	Professional		$93.25	$162.53	$320.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.21 / $268.72 / $321.88	Professional		$111.21	$268.72	$321.88
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 $112.40 / $183.26 / $328.34	Professional		$112.40	$183.26	$328.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.82 / $130.26 / $418.25	Facility		$102.82	$130.26	$418.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $160.22 / $190.71 / $201.76	Professional		$160.22	$190.71	$201.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.73 / $167.14 / $335.58	Professional		$98.73	$167.14	$335.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $119.41 / $190.71 / $303.37	Professional		$119.41	$190.71	$303.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $119.41 / $179.83 / $284.02	Professional		$119.41	$179.83	$284.02
United Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,550.00 / $2,506.00	Facility		$450.00	$1,550.00	$2,506.00
United Facility/Professional Professional Modifier Low / Median / High Price $145.35 / $216.66 / $397.07	Professional		$145.35	$216.66	$397.07