Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,969.39 / $5,439.61 / $10,190.00	Facility		$1,969.39	$5,439.61	$10,190.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,181.24 / $1,477.86 / $3,131.49	Professional		$1,181.24	$1,477.86	$3,131.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,134.22 / $1,620.32 / $2,359.04	Professional		$1,134.22	$1,620.32	$2,359.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.70 / $4,139.00 / $8,094.63	Facility		$1,380.70	$4,139.00	$8,094.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,155.92 / $1,726.05 / $3,029.56	Professional		$1,155.92	$1,726.05	$3,029.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,990.97 / $2,405.39 / $74,999.25	Facility		$1,990.97	$2,405.39	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,116.42 / $5,008.00 / $9,852.00	Facility		$2,116.42	$5,008.00	$9,852.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,224.18 / $2,053.36 / $3,161.01	Professional		$1,224.18	$2,053.36	$3,161.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,256.10 / $2,354.00 / $9,256.36	Professional		$1,256.10	$2,354.00	$9,256.36
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $80.51 / $80.51 / $80.51	Professional	80	$80.51	$80.51	$80.51
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $40.26 / $40.26 / $40.26	Professional	AS	$40.26	$40.26	$40.26
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,334.00 / $4,334.00 / $4,889.07	Facility		$4,334.00	$4,334.00	$4,889.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.39 / $1,698.98 / $2,283.84	Professional		$1,412.39	$1,698.98	$2,283.84
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 $1,185.68 / $1,746.12 / $2,858.02	Professional		$1,185.68	$1,746.12	$2,858.02