Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.67 / $2,987.00 / $6,915.00	Facility		$313.67	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.74 / $269.54 / $499.20	Professional		$184.74	$269.54	$499.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $461.50 / $461.50 / $461.50	Professional		$461.50	$461.50	$461.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $606.69 / $2,085.16 / $3,851.83	Facility		$606.69	$2,085.16	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.90 / $292.31 / $528.52	Professional		$201.90	$292.31	$528.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.51 / $5,008.00 / $9,852.00	Facility		$164.51	$5,008.00	$9,852.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.83 / $368.44 / $638.86	Professional		$220.83	$368.44	$638.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $230.53 / $380.42 / $1,624.71	Professional		$230.53	$380.42	$1,624.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $258.43 / $339.50 / $404.88	Professional		$258.43	$339.50	$404.88
United Facility/Professional Facility Modifier Low / Median / High Price $410.00 / $2,300.00 / $4,066.00	Facility		$410.00	$2,300.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $272.79 / $373.38 / $620.37	Professional		$272.79	$373.38	$620.37