Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.02 / $2,987.00 / $6,915.00	Facility		$484.02	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $372.68 / $481.89 / $921.19	Professional		$372.68	$481.89	$921.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $381.91 / $381.91 / $381.91	Professional		$381.91	$381.91	$381.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.08 / $2,322.50 / $5,240.56	Facility		$741.08	$2,322.50	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $420.93 / $606.90 / $1,112.33	Professional		$420.93	$606.90	$1,112.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $746.94 / $914.19 / $1,243.56	Facility		$746.94	$914.19	$1,243.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $731.03 / $1,153.31	Facility		$640.00	$731.03	$1,153.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $414.95 / $645.04 / $1,122.83	Professional		$414.95	$645.04	$1,122.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $499.09 / $665.32 / $1,184.52	Professional		$499.09	$665.32	$1,184.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $607.59 / $737.19 / $884.83	Professional		$607.59	$737.19	$884.83
United Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $1,550.00 / $2,665.00	Facility		$175.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $404.96 / $594.07 / $1,114.13	Professional		$404.96	$594.07	$1,114.13