Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $551.58 / $2,198.69 / $6,726.00	Facility		$551.58	$2,198.69	$6,726.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $397.42 / $571.08 / $729.99	Facility	54	$397.42	$571.08	$729.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $488.06 / $593.21 / $1,295.90	Professional		$488.06	$593.21	$1,295.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $635.16 / $635.16 / $933.21	Professional		$635.16	$635.16	$933.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $878.93 / $2,600.00 / $5,240.56	Facility		$878.93	$2,600.00	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $519.72 / $743.17 / $1,351.98	Professional		$519.72	$743.17	$1,351.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $900.54 / $1,094.76 / $1,489.20	Facility		$900.54	$1,094.76	$1,489.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $879.98 / $879.98 / $1,153.31	Facility		$879.98	$879.98	$1,153.31
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $615.99 / $615.99 / $615.99	Facility	54	$615.99	$615.99	$615.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $532.50 / $837.71 / $1,361.03	Professional		$532.50	$837.71	$1,361.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $597.67 / $826.02 / $1,365.04	Professional		$597.67	$826.02	$1,365.04
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $721.44 / $721.44 / $764.42	Professional	54	$721.44	$721.44	$764.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $736.12 / $893.86 / $1,079.98	Professional		$736.12	$893.86	$1,079.98
United Facility/Professional Facility Modifier Low / Median / High Price $426.00 / $2,360.00 / $4,066.00	Facility		$426.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $477.94 / $767.60 / $1,240.19	Professional		$477.94	$767.60	$1,240.19