Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.12 / $4,592.00 / $6,915.00	Facility		$407.12	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.99 / $389.74 / $708.10	Professional		$233.99	$389.74	$708.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $363.88 / $363.88 / $363.88	Professional		$363.88	$363.88	$363.88
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 $250.55 / $373.75 / $674.07	Professional		$250.55	$373.75	$674.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $510.69 / $510.69 / $510.69	Facility		$510.69	$510.69	$510.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.74 / $425.74 / $2,172.58	Facility		$425.74	$425.74	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.20 / $469.15 / $846.69	Professional		$294.20	$469.15	$846.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $297.68 / $453.70 / $934.69	Professional		$297.68	$453.70	$934.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $386.99 / $588.22 / $679.42	Professional		$386.99	$588.22	$679.42
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 $341.10 / $501.79 / $872.15	Professional		$341.10	$501.79	$872.15