Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $942.49 / $4,185.89 / $7,421.00	Facility		$942.49	$4,185.89	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $488.02 / $901.29 / $1,677.40	Professional		$488.02	$901.29	$1,677.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $425.35 / $753.47 / $1,544.00	Professional		$425.35	$753.47	$1,544.00
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 $511.11 / $778.51 / $1,389.90	Professional		$511.11	$778.51	$1,389.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $895.98 / $1,075.94 / $1,618.79	Facility		$895.98	$1,075.94	$1,618.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $882.10 / $882.10 / $2,172.58	Facility		$882.10	$882.10	$2,172.58
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $88.21 / $88.21 / $88.21	Facility	AS	$88.21	$88.21	$88.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $626.50 / $970.22 / $1,745.43	Professional		$626.50	$970.22	$1,745.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $612.95 / $1,025.53 / $2,151.54	Professional		$612.95	$1,025.53	$2,151.54
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $40.52 / $40.52 / $67.63	Professional	80	$40.52	$40.52	$67.63
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $20.26 / $20.26 / $33.82	Professional	AS	$20.26	$20.26	$33.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $591.10 / $923.74 / $1,577.37	Professional		$591.10	$923.74	$1,577.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $734.81 / $1,071.21 / $2,000.89	Professional		$734.81	$1,071.21	$2,000.89