Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,702.38 / $5,045.00 / $6,915.00	Facility		$1,702.38	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,435.43 / $1,865.84 / $3,033.95	Professional		$1,435.43	$1,865.84	$3,033.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7,874.38 / $7,874.38 / $7,874.38	Professional		$7,874.38	$7,874.38	$7,874.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,361.69 / $8,967.21 / $21,657.35	Facility		$2,361.69	$8,967.21	$21,657.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,557.31 / $2,391.98 / $4,539.28	Professional		$1,557.31	$2,391.98	$4,539.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,359.73 / $2,359.73 / $2,359.73	Facility		$2,359.73	$2,359.73	$2,359.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,911.67 / $2,500.00	Facility		$500.00	$1,911.67	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,654.99 / $2,519.13 / $4,510.63	Professional		$1,654.99	$2,519.13	$4,510.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,950.09 / $2,713.17 / $4,903.97	Professional		$1,950.09	$2,713.17	$4,903.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,758.16 / $2,824.31 / $3,227.58	Professional		$2,758.16	$2,824.31	$3,227.58
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,587.00 / $9,079.00	Facility		$625.00	$3,587.00	$9,079.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,428.91 / $2,128.21 / $3,900.92	Professional		$1,428.91	$2,128.21	$3,900.92