Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,367.38 / $6,524.00 / $10,374.00	Facility		$1,367.38	$6,524.00	$10,374.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $989.47 / $989.47 / $1,546.43	Facility	54	$989.47	$989.47	$1,546.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $992.21 / $1,434.08 / $3,221.45	Professional		$992.21	$1,434.08	$3,221.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,763.11 / $2,001.44 / $2,111.86	Professional		$1,763.11	$2,001.44	$2,111.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,195.63 / $4,075.69 / $8,545.91	Facility		$1,195.63	$4,075.69	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.09 / $1,549.33 / $2,852.62	Professional		$1,047.09	$1,549.33	$2,852.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,981.38 / $2,396.04 / $74,999.25	Facility		$1,981.38	$2,396.04	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $778.00 / $2,285.73 / $2,878.34	Facility		$778.00	$2,285.73	$2,878.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,135.02 / $1,680.81 / $3,013.87	Professional		$1,135.02	$1,680.81	$3,013.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,251.24 / $1,819.98 / $9,140.74	Professional		$1,251.24	$1,819.98	$9,140.74
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $1,403.56 / $1,403.56 / $1,403.56	Professional	54	$1,403.56	$1,403.56	$1,403.56
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $80.20 / $80.20 / $80.20	Professional	80	$80.20	$80.20	$80.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,490.11 / $1,827.50 / $4,117.25	Professional		$1,490.11	$1,827.50	$4,117.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,250.00 / $7,299.00 / $11,889.00	Facility		$1,250.00	$7,299.00	$11,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,135.33 / $1,545.55 / $2,926.08	Professional		$1,135.33	$1,545.55	$2,926.08