Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $4,897.79 / $7,943.28	Facility		$446.68	$4,897.79	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $426.58 / $741.31	Professional		$257.04	$426.58	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,238.72 / $4,677.35	Facility		$707.95	$2,238.72	$4,677.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $512.86 / $812.83	Professional		$323.59	$512.86	$812.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $512.86 / $831.76	Facility		$331.13	$512.86	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $436.52 / $758.58	Professional		$275.42	$436.52	$758.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $478.63 / $831.76	Professional		$281.84	$478.63	$831.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $794.33 / $1,174.90	Professional		$5.01	$794.33	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $3,235.94 / $6,606.93	Facility		$616.60	$3,235.94	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $407.38 / $724.44	Professional		$257.04	$407.38	$724.44