Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.95 / $1,277.24 / $18,116.70	Facility		$988.95	$1,277.24	$18,116.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,082.97 / $2,004.74 / $30,431.90	Professional		$1,082.97	$2,004.74	$30,431.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $520.38 / $756.77 / $1,040.75	Professional		$520.38	$756.77	$1,040.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,226.13 / $6,312.96 / $13,137.87	Facility		$2,226.13	$6,312.96	$13,137.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $771.95 / $6,965.58 / $21,623.76	Professional		$771.95	$6,965.58	$21,623.76
Anthem BCBS Facility/Professional Professional Modifier 80 Low / Median / High Price $123.51 / $1,114.49 / $3,459.80	Professional	80	$123.51	$1,114.49	$3,459.80
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $108.07 / $975.18 / $3,027.32	Professional	AS	$108.07	$975.18	$3,027.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,033.22 / $1,215.54 / $1,418.67	Facility		$1,033.22	$1,215.54	$1,418.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $686.96 / $8,677.79 / $17,663.00	Professional		$686.96	$8,677.79	$17,663.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $617.02 / $7,276.74 / $15,539.35	Professional		$617.02	$7,276.74	$15,539.35
United Facility/Professional Professional Modifier Low / Median / High Price $11,559.38 / $16,762.83 / $26,544.37	Professional		$11,559.38	$16,762.83	$26,544.37