Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $3,981.07 / $9,549.93	Facility		$331.13	$3,981.07	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $295.12 / $616.60	Professional		$131.83	$295.12	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $158.49 / $239.88	Professional		$120.23	$158.49	$239.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,238.72 / $4,786.30	Facility		$1,000.00	$2,238.72	$4,786.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $295.12 / $489.78	Professional		$173.78	$295.12	$489.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $181.97 / $257.04	Facility		$162.18	$181.97	$257.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $602.56	Professional		$338.84	$338.84	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $323.59 / $660.69	Professional		$173.78	$323.59	$660.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $288.40 / $524.81	Professional		$123.03	$288.40	$524.81
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $4,265.80 / $4,265.80	Facility		$3,235.94	$4,265.80	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,168.69 / $6,918.31	Facility		$1,122.02	$4,168.69	$6,918.31
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $302.00 / $575.44	Professional		$141.25	$302.00	$575.44