Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $4,570.88 / $7,413.10	Facility		$758.58	$4,570.88	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $323.59 / $1,148.15	Professional		$91.20	$323.59	$1,148.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $95.50 / $1,445.44	Professional		$58.88	$95.50	$1,445.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,884.03 / $4,786.30	Facility		$1,071.52	$2,884.03	$4,786.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $257.04 / $1,202.26	Professional		$120.23	$257.04	$1,202.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $128.82 / $173.78	Facility		$104.71	$128.82	$173.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $758.58 / $977.24	Professional		$588.84	$758.58	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $234.42 / $1,202.26	Professional		$102.33	$234.42	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $724.44 / $1,096.48	Professional		$87.10	$724.44	$1,096.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $1,122.02 / $1,584.89	Professional		$151.36	$1,122.02	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $3,090.30 / $5,370.32	Facility		$562.34	$3,090.30	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $501.19 / $1,122.02	Professional		$95.50	$501.19	$1,122.02