Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $735.24 / $5,063.00 / $11,426.00	Facility		$735.24	$5,063.00	$11,426.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $443.87 / $1,772.83 / $4,708.75	Professional		$443.87	$1,772.83	$4,708.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $272.82 / $385.99 / $769.10	Professional		$272.82	$385.99	$769.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,860.62 / $5,304.99 / $10,832.53	Facility		$1,860.62	$5,304.99	$10,832.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $554.96 / $1,648.02 / $5,306.63	Professional		$554.96	$1,648.02	$5,306.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $744.95 / $876.42 / $1,026.57	Facility		$744.95	$876.42	$1,026.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $581.91 / $1,290.43 / $4,665.75	Professional		$581.91	$1,290.43	$4,665.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $497.10 / $1,737.36 / $13,445.96	Professional		$497.10	$1,737.36	$13,445.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $475.60 / $1,507.93 / $3,076.24	Professional		$475.60	$1,507.93	$3,076.24
United Facility/Professional Facility Modifier Low / Median / High Price $3,293.00 / $9,062.00 / $17,476.00	Facility		$3,293.00	$9,062.00	$17,476.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,017.82 / $3,334.22 / $5,212.60	Professional		$2,017.82	$3,334.22	$5,212.60