Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $4,466.84 / $7,413.10	Facility		$275.42	$4,466.84	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $257.04 / $478.63	Professional		$144.54	$257.04	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $208.93 / $309.03	Professional		$190.55	$208.93	$309.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,570.40 / $4,786.30	Facility		$1,000.00	$2,570.40	$4,786.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $199.53 / $363.08	Professional		$131.83	$199.53	$363.08
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $199.53 / $302.00 / $549.54	Professional	50	$199.53	$302.00	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $223.87 / $407.38	Facility		$177.83	$223.87	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $275.42 / $537.03	Professional		$154.88	$275.42	$537.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $316.23 / $1,148.15	Professional		$151.36	$316.23	$1,148.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,981.07 / $6,918.31	Facility		$1,122.02	$3,981.07	$6,918.31
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $245.47 / $446.68	Professional		$151.36	$245.47	$446.68