Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $703.48 / $4,156.17 / $6,915.00	Facility		$703.48	$4,156.17	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.12 / $586.79 / $1,278.36	Professional		$129.12	$586.79	$1,278.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $184.34 / $241.75 / $1,112.46	Professional		$184.34	$241.75	$1,112.46
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 $168.17 / $530.41 / $1,496.50	Professional		$168.17	$530.41	$1,496.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,091.28 / $1,091.28 / $1,091.28	Facility		$1,091.28	$1,091.28	$1,091.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.12 / $120.12 / $120.12	Professional		$120.12	$120.12	$120.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.00 / $703.00 / $2,128.69	Facility		$506.00	$703.00	$2,128.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.45 / $378.33 / $1,466.32	Professional		$171.45	$378.33	$1,466.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.56 / $589.35 / $1,485.16	Professional		$145.56	$589.35	$1,485.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $511.40 / $1,807.90	Professional		$4.00	$511.40	$1,807.90
United Facility/Professional Facility Modifier Low / Median / High Price $651.00 / $4,666.00 / $8,554.00	Facility		$651.00	$4,666.00	$8,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $665.06 / $1,049.82 / $1,792.52	Professional		$665.06	$1,049.82	$1,792.52