Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.51 / $2,760.00 / $6,915.00	Facility		$320.51	$2,760.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.22 / $178.78 / $457.53	Professional		$66.22	$178.78	$457.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.45 / $108.03 / $635.92	Professional		$67.45	$108.03	$635.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,152.57 / $4,143.39	Facility		$759.49	$2,152.57	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.49 / $206.73 / $544.21	Professional		$85.49	$206.73	$544.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $113.78 / $133.86 / $159.87	Facility		$113.78	$133.86	$159.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.69 / $111.69 / $111.69	Facility		$111.69	$111.69	$111.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.27 / $183.42 / $522.90	Professional		$79.27	$183.42	$522.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.41 / $351.31 / $1,415.00	Professional		$77.41	$351.31	$1,415.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $548.88 / $917.00	Professional		$5.00	$548.88	$917.00
United Facility/Professional Facility Modifier Low / Median / High Price $772.00 / $2,360.00 / $4,066.00	Facility		$772.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $197.95 / $291.68 / $686.93	Professional		$197.95	$291.68	$686.93