Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $3,630.78 / $7,413.10	Facility		$190.55	$3,630.78	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $134.90 / $257.04	Professional		$89.13	$134.90	$257.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $204.17 / $204.17	Professional		$177.83	$204.17	$204.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,187.76 / $4,677.35	Facility		$758.58	$2,187.76	$4,677.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.25 / $234.42	Professional		$100.00	$141.25	$234.42
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $147.91 / $213.80 / $346.74	Professional	50	$147.91	$213.80	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,318.26 / $1,659.59	Facility		$407.38	$1,318.26	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $169.82 / $288.40	Professional		$95.50	$169.82	$288.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $169.82 / $707.95	Professional		$83.18	$169.82	$707.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $134.90 / $229.09	Professional		$112.20	$134.90	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $1,348.96 / $2,454.71	Facility		$109.65	$1,348.96	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $147.91 / $245.47	Professional		$93.33	$147.91	$245.47