Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.93 / $2,592.00 / $6,915.00	Facility		$187.93	$2,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.07 / $184.37 / $376.80	Professional		$105.07	$184.37	$376.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $241.34 / $337.43 / $337.43	Professional		$241.34	$337.43	$337.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,680.87 / $3,784.98	Facility		$450.00	$1,680.87	$3,784.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.71 / $230.53 / $395.19	Professional		$135.71	$230.53	$395.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $230.91 / $230.91 / $230.91	Facility		$230.91	$230.91	$230.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.65 / $97.65 / $97.65	Professional		$97.65	$97.65	$97.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.07 / $338.00 / $546.00	Facility		$146.07	$338.00	$546.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.52 / $207.23 / $385.22	Professional		$123.52	$207.23	$385.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.93 / $208.36 / $316.87	Professional		$121.93	$208.36	$316.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $326.50 / $505.50	Professional		$5.00	$326.50	$505.50
United Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $866.00 / $2,665.00	Facility		$77.00	$866.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.16 / $225.75 / $384.30	Professional		$162.16	$225.75	$384.30