Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,438.69 / $5,063.00 / $7,631.00	Facility		$1,438.69	$5,063.00	$7,631.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $890.93 / $1,066.91 / $1,914.18	Professional		$890.93	$1,066.91	$1,914.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,383.01 / $1,383.01 / $1,383.01	Professional		$1,383.01	$1,383.01	$1,383.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $756.00 / $2,889.99 / $7,513.42	Facility		$756.00	$2,889.99	$7,513.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $971.04 / $1,485.02 / $2,408.17	Professional		$971.04	$1,485.02	$2,408.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,521.55 / $1,521.55 / $1,521.55	Facility		$1,521.55	$1,521.55	$1,521.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $883.59 / $883.59 / $883.59	Professional		$883.59	$883.59	$883.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $1,005.00 / $3,685.16	Facility		$512.00	$1,005.00	$3,685.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $863.23 / $1,424.36 / $2,327.05	Professional		$863.23	$1,424.36	$2,327.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $971.54 / $1,263.00 / $2,250.82	Professional		$971.54	$1,263.00	$2,250.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,663.20 / $2,597.40	Professional		$6.00	$1,663.20	$2,597.40
United Facility/Professional Facility Modifier Low / Median / High Price $741.00 / $5,664.00 / $11,889.00	Facility		$741.00	$5,664.00	$11,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $906.42 / $1,275.30 / $2,163.62	Professional		$906.42	$1,275.30	$2,163.62