Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.44 / $2,800.00 / $6,915.00	Facility		$390.44	$2,800.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.67 / $378.83 / $743.96	Professional		$305.67	$378.83	$743.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $171.65 / $171.65 / $171.65	Professional		$171.65	$171.65	$171.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.08 / $2,874.11 / $6,315.83	Facility		$741.08	$2,874.11	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.11 / $482.77 / $892.67	Professional		$316.11	$482.77	$892.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $596.29 / $701.52 / $995.58	Facility		$596.29	$701.52	$995.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $584.02 / $584.02 / $2,172.58	Facility		$584.02	$584.02	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.19 / $506.31 / $898.81	Professional		$339.19	$506.31	$898.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $399.57 / $486.43 / $958.78	Professional		$399.57	$486.43	$958.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $486.43 / $603.40 / $696.23	Professional		$486.43	$603.40	$696.23
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 $317.25 / $457.17 / $875.11	Professional		$317.25	$457.17	$875.11