Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $651.30 / $4,592.00 / $6,915.00	Facility		$651.30	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.53 / $631.21 / $1,095.35	Professional		$425.53	$631.21	$1,095.35
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,239.99 / $1,789.34 / $2,064.98	Professional	50	$1,239.99	$1,789.34	$2,064.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $832.47 / $832.47 / $832.47	Professional		$832.47	$832.47	$832.47
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 $445.32 / $609.80 / $1,104.40	Professional		$445.32	$609.80	$1,104.40
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $667.98 / $914.71 / $1,656.60	Professional	50	$667.98	$914.71	$1,656.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $765.05 / $930.23 / $74,999.25	Facility		$765.05	$930.23	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $778.00 / $1,119.77 / $1,410.08	Facility		$778.00	$1,119.77	$1,410.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $473.33 / $735.05 / $1,482.01	Professional		$473.33	$735.05	$1,482.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $507.85 / $806.77 / $3,545.00	Professional		$507.85	$806.77	$3,545.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $638.08 / $912.80 / $1,589.76	Professional		$638.08	$912.80	$1,589.76
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 $590.49 / $842.23 / $1,397.43	Professional		$590.49	$842.23	$1,397.43