Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $553.22 / $3,295.00 / $6,915.00	Facility		$553.22	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.92 / $531.25 / $1,011.09	Professional		$341.92	$531.25	$1,011.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $286.43 / $286.43 / $673.96	Professional		$286.43	$286.43	$673.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,795.56 / $6,315.83	Facility		$964.00	$2,795.56	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $361.96 / $539.19 / $969.81	Professional		$361.96	$539.19	$969.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $683.95 / $683.95 / $683.95	Facility		$683.95	$683.95	$683.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $621.17 / $621.17 / $2,172.58	Facility		$621.17	$621.17	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $406.56 / $644.38 / $1,166.43	Professional		$406.56	$644.38	$1,166.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $435.61 / $635.27 / $1,285.14	Professional		$435.61	$635.27	$1,285.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $419.62 / $655.62 / $965.86	Professional		$419.62	$655.62	$965.86
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 $459.09 / $667.57 / $1,179.91	Professional		$459.09	$667.57	$1,179.91