Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $979.45 / $5,045.00 / $6,915.00	Facility		$979.45	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $563.60 / $675.39 / $1,401.77	Professional		$563.60	$675.39	$1,401.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $598.27 / $598.27 / $598.27	Professional		$598.27	$598.27	$598.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $2,986.70 / $6,315.83	Facility		$1,082.02	$2,986.70	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $626.39 / $900.34 / $1,627.20	Professional		$626.39	$900.34	$1,627.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $948.47 / $948.47 / $948.47	Facility		$948.47	$948.47	$948.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $713.47 / $713.47 / $2,753.69	Facility		$713.47	$713.47	$2,753.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $648.21 / $978.03 / $1,594.66	Professional		$648.21	$978.03	$1,594.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $689.11 / $978.77 / $1,552.88	Professional		$689.11	$978.77	$1,552.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $785.60 / $976.17 / $2,690.22	Professional		$785.60	$976.17	$2,690.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00
United Facility/Professional Professional Modifier Low / Median / High Price $564.45 / $888.33 / $1,559.32	Professional		$564.45	$888.33	$1,559.32