Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,458.00 / $5,063.00 / $6,915.00	Facility		$1,458.00	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $950.23 / $1,163.04 / $2,590.03	Professional		$950.23	$1,163.04	$2,590.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $150.80 / $801.12 / $5,364.78	Professional		$150.80	$801.12	$5,364.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.35 / $4,431.64 / $39,007.80	Facility		$1,318.35	$4,431.64	$39,007.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,067.15 / $1,554.24 / $2,776.16	Professional		$1,067.15	$1,554.24	$2,776.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,871.33 / $2,247.90 / $3,057.80	Facility		$1,871.33	$2,247.90	$3,057.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,215.80 / $2,500.00	Facility		$500.00	$1,215.80	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,129.18 / $1,700.82 / $2,746.41	Professional		$1,129.18	$1,700.82	$2,746.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,173.86 / $1,655.11 / $3,153.51	Professional		$1,173.86	$1,655.11	$3,153.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,888.52 / $1,888.52 / $1,920.87	Professional		$1,888.52	$1,888.52	$1,920.87
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 $948.91 / $1,443.20 / $2,437.52	Professional		$948.91	$1,443.20	$2,437.52