Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $497.31 / $3,826.00 / $6,915.00	Facility		$497.31	$3,826.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.91 / $1,149.18 / $2,505.92	Professional		$241.91	$1,149.18	$2,505.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.01 / $333.05 / $1,201.85	Professional		$111.01	$333.05	$1,201.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $822.79 / $1,298.54 / $3,132.87	Facility		$822.79	$1,298.54	$3,132.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.06 / $841.86 / $2,773.78	Professional		$304.06	$841.86	$2,773.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $409.23 / $481.44 / $563.69	Facility		$409.23	$481.44	$563.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $397.55 / $397.55 / $397.55	Facility		$397.55	$397.55	$397.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.57 / $746.91 / $3,030.97	Professional		$290.57	$746.91	$3,030.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $272.95 / $1,344.63 / $5,067.00	Professional		$272.95	$1,344.63	$5,067.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $241.36 / $1,045.40 / $2,132.58	Professional		$241.36	$1,045.40	$2,132.58
United Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,580.00 / $2,665.00	Facility		$353.00	$1,580.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,228.81 / $1,788.51 / $3,482.02	Professional		$1,228.81	$1,788.51	$3,482.02