Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.04 / $4,014.00 / $6,915.00	Facility		$168.04	$4,014.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.61 / $399.23 / $964.16	Professional		$90.61	$399.23	$964.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.96 / $167.43 / $323.87	Professional		$88.96	$167.43	$323.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.37 / $2,634.62 / $5,292.58	Facility		$996.37	$2,634.62	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.78 / $355.20 / $1,315.41	Professional		$113.78	$355.20	$1,315.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $90.18 / $122.11 / $161.36	Facility		$90.18	$122.11	$161.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $593.91 / $736.78 / $942.74	Professional		$593.91	$736.78	$942.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.18 / $158.18 / $158.18	Facility		$158.18	$158.18	$158.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.50 / $247.75 / $1,265.56	Professional		$104.50	$247.75	$1,265.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.20 / $662.29 / $1,273.00	Professional		$99.20	$662.29	$1,273.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $142.80 / $1,075.44 / $1,578.30	Professional		$142.80	$1,075.44	$1,578.30
United Facility/Professional Facility Modifier Low / Median / High Price $567.00 / $3,218.00 / $5,272.00	Facility		$567.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $552.46 / $770.47 / $1,434.62	Professional		$552.46	$770.47	$1,434.62