Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.21 / $3,826.00 / $6,915.00	Facility		$484.21	$3,826.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.99 / $483.71 / $974.00	Professional		$295.99	$483.71	$974.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $381.15 / $537.84 / $573.45	Professional		$381.15	$537.84	$573.45
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 $308.62 / $467.96 / $839.25	Professional		$308.62	$467.96	$839.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $540.38 / $650.61 / $976.31	Facility		$540.38	$650.61	$976.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $531.89 / $531.89 / $974.44	Facility		$531.89	$531.89	$974.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.44 / $566.19 / $1,037.54	Professional		$357.44	$566.19	$1,037.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $370.64 / $540.52 / $1,102.98	Professional		$370.64	$540.52	$1,102.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $425.13 / $579.21 / $800.93	Professional		$425.13	$579.21	$800.93
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $413.57 / $630.20 / $1,075.28	Professional		$413.57	$630.20	$1,075.28