Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $823.95 / $5,063.00 / $6,915.00	Facility		$823.95	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.89 / $501.56 / $1,067.00	Professional		$412.89	$501.56	$1,067.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $552.11 / $828.01 / $828.01	Professional		$552.11	$828.01	$828.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,140.78 / $3,272.95 / $6,339.18	Facility		$1,140.78	$3,272.95	$6,339.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $449.31 / $660.35 / $1,162.48	Professional		$449.31	$660.35	$1,162.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $782.78 / $920.91 / $1,277.91	Facility		$782.78	$920.91	$1,277.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $513.73 / $513.73 / $1,653.56	Facility		$513.73	$513.73	$1,653.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $468.21 / $730.83 / $1,160.19	Professional		$468.21	$730.83	$1,160.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $490.58 / $721.55 / $2,240.00	Professional		$490.58	$721.55	$2,240.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $401.38 / $745.39 / $802.77	Professional		$401.38	$745.39	$802.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $400.94 / $634.75 / $1,025.66	Professional		$400.94	$634.75	$1,025.66