Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.59 / $5,063.00 / $7,421.00	Facility		$344.59	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $314.64 / $376.27 / $728.22	Professional		$314.64	$376.27	$728.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $695.52 / $695.52 / $695.52	Professional		$695.52	$695.52	$695.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $610.00 / $2,700.00 / $6,065.87	Facility		$610.00	$2,700.00	$6,065.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $386.56 / $670.77 / $796.95	Professional		$386.56	$670.77	$796.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $318.91 / $318.91 / $318.91	Professional		$318.91	$318.91	$318.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $589.00 / $835.00	Facility		$200.00	$589.00	$835.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.78 / $582.54 / $977.76	Professional		$348.78	$582.54	$977.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $431.54 / $561.00 / $992.54	Professional		$431.54	$561.00	$992.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $471.80 / $516.60 / $516.60	Professional		$471.80	$516.60	$516.60
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $2,969.00 / $9,079.00	Facility		$400.00	$2,969.00	$9,079.00
United Facility/Professional Professional Modifier Low / Median / High Price $241.01 / $409.72 / $739.72	Professional		$241.01	$409.72	$739.72