Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.91 / $2,788.80 / $5,283.84	Facility		$180.91	$2,788.80	$5,283.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.59 / $180.59 / $362.81	Professional		$111.59	$180.59	$362.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.74 / $205.01 / $205.01	Professional		$108.74	$205.01	$205.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $635.46 / $1,949.16 / $3,851.83	Facility		$635.46	$1,949.16	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.17 / $171.08 / $329.07	Professional		$111.17	$171.08	$329.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $278.20 / $278.20 / $278.20	Facility		$278.20	$278.20	$278.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.14 / $193.14 / $640.00	Facility		$193.14	$193.14	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.59 / $215.93 / $395.65	Professional		$128.59	$215.93	$395.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.59 / $209.80 / $471.38	Professional		$138.59	$209.80	$471.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $145.91 / $193.55 / $253.97	Professional		$145.91	$193.55	$253.97
United Facility/Professional Facility Modifier Low / Median / High Price $426.00 / $2,360.00 / $4,066.00	Facility		$426.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $150.13 / $230.51 / $414.88	Professional		$150.13	$230.51	$414.88