Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.78 / $3,391.00 / $6,915.00	Facility		$155.78	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.46 / $203.26 / $413.25	Professional		$95.46	$203.26	$413.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $176.52 / $176.52 / $176.52	Professional		$176.52	$176.52	$176.52
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 $92.86 / $146.72 / $274.87	Professional		$92.86	$146.72	$274.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $331.17 / $331.17 / $331.17	Facility		$331.17	$331.17	$331.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.15 / $160.15 / $657.54	Facility		$160.15	$160.15	$657.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.61 / $221.79 / $470.67	Professional		$104.61	$221.79	$470.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.86 / $259.89 / $626.34	Professional		$114.86	$259.89	$626.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $116.66 / $216.58 / $400.67	Professional		$116.66	$216.58	$400.67
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 $180.35 / $274.25 / $498.73	Professional		$180.35	$274.25	$498.73