Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.04 / $4,085.00 / $6,915.00	Facility		$492.04	$4,085.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.75 / $481.54 / $897.39	Professional		$310.75	$481.54	$897.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $287.70 / $559.34 / $810.68	Professional		$287.70	$559.34	$810.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,174.58 / $4,819.75	Facility		$578.00	$2,174.58	$4,819.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $362.78 / $630.89 / $1,019.85	Professional		$362.78	$630.89	$1,019.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $585.23 / $585.23 / $585.23	Facility		$585.23	$585.23	$585.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $294.49 / $294.49 / $294.49	Professional		$294.49	$294.49	$294.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $703.00 / $1,765.90	Facility		$512.00	$703.00	$1,765.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.02 / $544.57 / $1,015.42	Professional		$338.02	$544.57	$1,015.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $366.44 / $542.23 / $825.13	Professional		$366.44	$542.23	$825.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $445.99 / $611.30 / $874.00	Professional		$445.99	$611.30	$874.00
United Facility/Professional Facility Modifier Low / Median / High Price $576.00 / $3,895.00 / $6,995.00	Facility		$576.00	$3,895.00	$6,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $417.81 / $592.82 / $1,043.83	Professional		$417.81	$592.82	$1,043.83