Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $454.48 / $2,960.00 / $6,915.00	Facility		$454.48	$2,960.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.37 / $436.17 / $820.85	Professional		$268.37	$436.17	$820.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $274.58 / $453.74 / $533.80	Professional		$274.58	$453.74	$533.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.00 / $2,292.94 / $5,240.56	Facility		$869.00	$2,292.94	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.79 / $429.86 / $782.62	Professional		$287.79	$429.86	$782.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $577.47 / $577.47 / $577.47	Facility		$577.47	$577.47	$577.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.28 / $494.28 / $1,153.31	Facility		$494.28	$494.28	$1,153.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.99 / $530.03 / $962.65	Professional		$329.99	$530.03	$962.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $345.02 / $508.30 / $1,045.27	Professional		$345.02	$508.30	$1,045.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $448.53 / $531.91 / $780.11	Professional		$448.53	$531.91	$780.11
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 $387.44 / $560.79 / $965.87	Professional		$387.44	$560.79	$965.87