Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,084.08 / $4,368.00 / $6,915.00	Facility		$1,084.08	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.29 / $831.88 / $1,463.95	Professional		$663.29	$831.88	$1,463.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $952.65 / $952.65 / $952.65	Professional		$952.65	$952.65	$952.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $989.09 / $3,392.46 / $8,545.91	Facility		$989.09	$3,392.46	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $693.56 / $1,078.88 / $2,083.29	Professional		$693.56	$1,078.88	$2,083.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,300.64 / $1,565.43 / $2,129.44	Facility		$1,300.64	$1,565.43	$2,129.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $847.01 / $847.01 / $4,250.64	Facility		$847.01	$847.01	$4,250.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $740.54 / $1,153.80 / $2,160.63	Professional		$740.54	$1,153.80	$2,160.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $854.65 / $1,189.07 / $2,149.19	Professional		$854.65	$1,189.07	$2,149.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.96 / $1,318.82 / $3,023.09	Professional		$1,096.96	$1,318.82	$3,023.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $655.09 / $994.66 / $1,924.41	Professional		$655.09	$994.66	$1,924.41