Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,069.33 / $4,829.00 / $6,915.00	Facility		$1,069.33	$4,829.00	$6,915.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $698.41 / $711.96 / $997.45	Facility	54	$698.41	$711.96	$997.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.25 / $995.58 / $1,534.90	Professional		$656.25	$995.58	$1,534.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $740.57 / $740.57 / $740.57	Professional		$740.57	$740.57	$740.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $992.53 / $2,669.65 / $5,084.83	Facility		$992.53	$2,669.65	$5,084.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $715.75 / $1,082.88 / $2,019.22	Professional		$715.75	$1,082.88	$2,019.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,364.97 / $1,605.86 / $74,999.25	Facility		$1,364.97	$1,605.86	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $778.00 / $1,325.29 / $1,668.88	Facility		$778.00	$1,325.29	$1,668.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $708.71 / $1,034.88 / $2,026.59	Professional		$708.71	$1,034.88	$2,026.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $874.81 / $1,272.45 / $6,451.97	Professional		$874.81	$1,272.45	$6,451.97
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $981.31 / $981.31 / $981.31	Professional	54	$981.31	$981.31	$981.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,130.76 / $1,240.64 / $1,419.29	Professional		$1,130.76	$1,240.64	$1,419.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,180.00 / $4,581.00 / $7,647.00	Facility		$1,180.00	$4,581.00	$7,647.00
United Facility/Professional Professional Modifier Low / Median / High Price $729.58 / $949.95 / $1,736.36	Professional		$729.58	$949.95	$1,736.36