Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.87 / $2,438.00 / $6,726.00	Facility		$308.87	$2,438.00	$6,726.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.78 / $298.66 / $639.91	Professional		$118.78	$298.66	$639.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.78 / $116.80 / $214.15	Professional		$102.78	$116.80	$214.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,954.16 / $4,819.75	Facility		$450.00	$1,954.16	$4,819.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.32 / $312.64 / $643.75	Professional		$156.32	$312.64	$643.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $454.58 / $454.58 / $454.58	Facility		$454.58	$454.58	$454.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.60 / $109.60 / $109.60	Professional		$109.60	$109.60	$109.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.00 / $551.00 / $2,880.00	Facility		$338.00	$551.00	$2,880.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.75 / $301.99 / $636.27	Professional		$151.75	$301.99	$636.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.32 / $315.77 / $525.82	Professional		$134.32	$315.77	$525.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $126.09 / $322.69 / $687.30	Professional		$126.09	$322.69	$687.30
United Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $2,307.00 / $5,272.00	Facility		$515.00	$2,307.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $268.38 / $389.81 / $647.64	Professional		$268.38	$389.81	$647.64