Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,166.03 / $5,063.00 / $7,391.00	Facility		$1,166.03	$5,063.00	$7,391.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $639.26 / $828.67 / $1,583.71	Professional		$639.26	$828.67	$1,583.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $534.16 / $534.16 / $1,605.78	Professional		$534.16	$534.16	$1,605.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,132.49 / $3,116.30 / $6,271.28	Facility		$1,132.49	$3,116.30	$6,271.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $577.90 / $907.31 / $1,573.56	Professional		$577.90	$907.31	$1,573.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $984.56 / $1,203.30 / $74,999.25	Facility		$984.56	$1,203.30	$74,999.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,058.71 / $1,058.71 / $1,058.71	Professional		$1,058.71	$1,058.71	$1,058.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $628.38 / $1,258.68 / $5,215.42	Professional		$628.38	$1,258.68	$5,215.42
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,050.00 / $3,050.00 / $3,050.00	Facility		$3,050.00	$3,050.00	$3,050.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $739.72 / $851.16 / $970.62	Professional		$739.72	$851.16	$970.62
United Facility/Professional Facility Modifier Low / Median / High Price $990.00 / $6,206.00 / $8,554.00	Facility		$990.00	$6,206.00	$8,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $667.92 / $927.42 / $1,457.25	Professional		$667.92	$927.42	$1,457.25