Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $747.75 / $4,441.63 / $6,915.00	Facility		$747.75	$4,441.63	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.01 / $3,527.59 / $7,801.52	Professional		$335.01	$3,527.59	$7,801.52
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $9,762.00 / $9,762.00 / $12,024.20	Professional	50	$9,762.00	$9,762.00	$12,024.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.29 / $216.44 / $331.87	Professional		$144.29	$216.44	$331.87
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $779.30 / $826.78 / $826.78	Professional	50	$779.30	$826.78	$826.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,226.13 / $6,732.00 / $13,137.87	Facility		$2,226.13	$6,732.00	$13,137.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $395.80 / $2,349.85 / $7,967.01	Professional		$395.80	$2,349.85	$7,967.01
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $593.71 / $3,524.78 / $11,950.52	Professional	50	$593.71	$3,524.78	$11,950.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $531.90 / $625.76 / $731.52	Facility		$531.90	$625.76	$731.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.92 / $2,310.21 / $8,826.64	Professional		$407.92	$2,310.21	$8,826.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.23 / $3,446.45 / $5,707.00	Professional		$354.23	$3,446.45	$5,707.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $339.47 / $3,133.14 / $6,203.62	Professional		$339.47	$3,133.14	$6,203.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,303.00 / $10,242.00 / $24,000.00	Facility		$2,303.00	$10,242.00	$24,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,253.81 / $5,660.28 / $8,450.29	Professional		$3,253.81	$5,660.28	$8,450.29