Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $689.31 / $3,636.12 / $6,915.00	Facility		$689.31	$3,636.12	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $433.23 / $669.82 / $1,322.68	Professional		$433.23	$669.82	$1,322.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $285.73 / $431.01 / $839.60	Professional		$285.73	$431.01	$839.60
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 $467.24 / $692.46 / $1,208.84	Professional		$467.24	$692.46	$1,208.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $810.21 / $978.02 / $1,347.36	Facility		$810.21	$978.02	$1,347.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $795.21 / $795.21 / $2,172.58	Facility		$795.21	$795.21	$2,172.58
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $79.52 / $79.52 / $79.52	Facility	AS	$79.52	$79.52	$79.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $533.10 / $818.77 / $1,457.73	Professional		$533.10	$818.77	$1,457.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $557.16 / $812.53 / $1,589.78	Professional		$557.16	$812.53	$1,589.78
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $36.83 / $36.83 / $50.87	Professional	80	$36.83	$36.83	$50.87
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $18.41 / $18.41 / $25.44	Professional	AS	$18.41	$18.41	$25.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $637.39 / $858.96 / $1,154.43	Professional		$637.39	$858.96	$1,154.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $582.65 / $858.03 / $1,473.06	Professional		$582.65	$858.03	$1,473.06