Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $526.79 / $4,613.00 / $8,514.66	Facility		$526.79	$4,613.00	$8,514.66
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,671.50 / $4,815.00 / $9,226.50	Facility	50	$2,671.50	$4,815.00	$9,226.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.38 / $531.62 / $1,165.14	Professional		$358.38	$531.62	$1,165.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $537.67 / $740.32 / $907.56	Professional		$537.67	$740.32	$907.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,135.89 / $2,987.00 / $6,315.83	Facility		$1,135.89	$2,987.00	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $431.94 / $670.27 / $1,104.21	Professional		$431.94	$670.27	$1,104.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $798.45 / $863.64 / $1,326.32	Facility		$798.45	$863.64	$1,326.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,942.85 / $6,918.00 / $9,852.00	Facility		$1,942.85	$6,918.00	$9,852.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $464.33 / $755.34 / $1,179.30	Professional		$464.33	$755.34	$1,179.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $460.09 / $618.79 / $1,000.47	Professional		$460.09	$618.79	$1,000.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $489.88 / $726.81 / $977.37	Professional		$489.88	$726.81	$977.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $4,826.00 / $7,889.00	Facility		$1,200.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $470.97 / $642.97 / $1,130.04	Professional		$470.97	$642.97	$1,130.04