Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.08 / $3,460.00 / $6,915.00	Facility		$273.08	$3,460.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.12 / $278.20 / $526.12	Professional		$148.12	$278.20	$526.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $196.04 / $196.04 / $514.32	Professional		$196.04	$196.04	$514.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.00 / $2,292.94 / $5,240.56	Facility		$869.00	$2,292.94	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.30 / $240.50 / $423.67	Professional		$162.30	$240.50	$423.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $277.94 / $339.09 / $502.17	Facility		$277.94	$339.09	$502.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.08 / $272.08 / $974.44	Facility		$272.08	$272.08	$974.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.24 / $315.77 / $626.19	Professional		$180.24	$315.77	$626.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $193.16 / $347.17 / $724.40	Professional		$193.16	$347.17	$724.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $257.52 / $508.23 / $540.63	Professional		$257.52	$508.23	$540.63
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $247.91 / $380.64 / $660.10	Professional		$247.91	$380.64	$660.10