Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $507.99 / $4,590.00 / $6,915.00	Facility		$507.99	$4,590.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $319.16 / $492.00 / $933.12	Professional		$319.16	$492.00	$933.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $153.32 / $153.32 / $153.32	Professional		$153.32	$153.32	$153.32
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 $325.00 / $487.52 / $875.03	Professional		$325.00	$487.52	$875.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $669.43 / $669.43 / $669.43	Facility		$669.43	$669.43	$669.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.61 / $555.61 / $2,172.58	Facility		$555.61	$555.61	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $388.63 / $604.26 / $1,088.86	Professional		$388.63	$604.26	$1,088.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $388.79 / $574.26 / $1,181.24	Professional		$388.79	$574.26	$1,181.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $497.24 / $566.99 / $833.93	Professional		$497.24	$566.99	$833.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,323.00 / $4,581.00 / $6,995.00	Facility		$1,323.00	$4,581.00	$6,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $428.21 / $655.79 / $1,155.78	Professional		$428.21	$655.79	$1,155.78