Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $731.45 / $5,917.00 / $10,897.00	Facility		$731.45	$5,917.00	$10,897.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.28 / $1,873.35 / $4,008.57	Professional		$369.28	$1,873.35	$4,008.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $328.31 / $328.31 / $426.80	Professional		$328.31	$328.31	$426.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,860.62 / $5,610.60 / $10,832.53	Facility		$1,860.62	$5,610.60	$10,832.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $448.66 / $1,254.89 / $3,968.88	Professional		$448.66	$1,254.89	$3,968.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $605.13 / $711.92 / $830.93	Facility		$605.13	$711.92	$830.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15,635.00 / $15,635.00 / $15,635.00	Facility		$15,635.00	$15,635.00	$15,635.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.54 / $1,227.11 / $4,809.64	Professional		$446.54	$1,227.11	$4,809.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $402.36 / $1,824.35 / $5,756.00	Professional		$402.36	$1,824.35	$5,756.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $385.60 / $1,658.50 / $3,292.61	Professional		$385.60	$1,658.50	$3,292.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,193.00 / $18,613.00	Facility		$1,998.00	$9,193.00	$18,613.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,102.04 / $3,200.54 / $4,966.35	Professional		$2,102.04	$3,200.54	$4,966.35