Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $632.85 / $4,592.00 / $6,915.00	Facility		$632.85	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.29 / $619.24 / $1,371.74	Professional		$438.29	$619.24	$1,371.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $897.68 / $897.68 / $897.68	Professional		$897.68	$897.68	$897.68
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 $462.09 / $671.48 / $1,250.56	Professional		$462.09	$671.48	$1,250.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $605.90 / $605.90 / $605.90	Facility		$605.90	$605.90	$605.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.92 / $831.92 / $2,172.58	Facility		$831.92	$831.92	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $494.47 / $823.70 / $1,451.46	Professional		$494.47	$823.70	$1,451.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $580.21 / $765.06 / $1,574.26	Professional		$580.21	$765.06	$1,574.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $507.69 / $871.46 / $1,252.86	Professional		$507.69	$871.46	$1,252.86
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 $521.05 / $802.55 / $1,462.68	Professional		$521.05	$802.55	$1,462.68