Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.73 / $450.76 / $4,057.51	Facility		$343.73	$450.76	$4,057.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.09 / $707.51 / $7,097.89	Professional		$383.09	$707.51	$7,097.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $260.35 / $260.35 / $378.51	Professional		$260.35	$260.35	$378.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,875.00 / $7,875.00 / $7,875.00	Facility		$7,875.00	$7,875.00	$7,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $273.60 / $1,041.15 / $4,848.18	Professional		$273.60	$1,041.15	$4,848.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $369.12 / $434.27 / $505.23	Facility		$369.12	$434.27	$505.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $244.64 / $1,272.52 / $3,295.00	Professional		$244.64	$1,272.52	$3,295.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $222.23 / $992.06 / $2,127.48	Professional		$222.23	$992.06	$2,127.48
United Facility/Professional Professional Modifier Low / Median / High Price $1,961.75 / $3,598.23 / $4,996.99	Professional		$1,961.75	$3,598.23	$4,996.99