Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.31 / $2,987.00 / $6,915.00	Facility		$223.31	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.25 / $221.35 / $421.49	Professional		$143.25	$221.35	$421.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $268.58 / $268.58 / $268.58	Professional		$268.58	$268.58	$268.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $572.89 / $2,155.98 / $4,875.60	Facility		$572.89	$2,155.98	$4,875.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.62 / $284.62 / $475.89	Professional		$177.62	$284.62	$475.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $295.44 / $295.44 / $295.44	Facility		$295.44	$295.44	$295.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $138.10 / $138.10 / $138.10	Professional		$138.10	$138.10	$138.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.10 / $512.00 / $1,005.00	Facility		$176.10	$512.00	$1,005.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.11 / $282.10 / $474.53	Professional		$170.11	$282.10	$474.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.50 / $247.93 / $837.00	Professional		$174.50	$247.93	$837.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $390.40 / $589.50	Professional		$5.00	$390.40	$589.50
United Facility/Professional Facility Modifier Low / Median / High Price $394.00 / $1,952.00 / $4,066.00	Facility		$394.00	$1,952.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $198.48 / $274.86 / $466.62	Professional		$198.48	$274.86	$466.62