Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $469.94 / $469.94 / $1,402.85	Facility		$469.94	$469.94	$1,402.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $445.20 / $586.75 / $1,164.79	Professional		$445.20	$586.75	$1,164.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,515.08 / $1,515.08 / $1,593.97	Professional		$1,515.08	$1,515.08	$1,593.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.53 / $1,087.14 / $2,849.87	Facility		$776.53	$1,087.14	$2,849.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $698.87 / $1,001.76 / $1,721.66	Professional		$698.87	$1,001.76	$1,721.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $560.30 / $776.53 / $1,515.08	Facility		$560.30	$776.53	$1,515.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $660.05 / $660.05 / $660.05	Professional		$660.05	$660.05	$660.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.68 / $758.68 / $758.68	Facility		$758.68	$758.68	$758.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $553.84 / $553.84 / $882.75	Professional		$553.84	$553.84	$882.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $531.46 / $776.53 / $1,604.00	Professional		$531.46	$776.53	$1,604.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $438.62 / $954.45 / $1,436.58	Professional		$438.62	$954.45	$1,436.58
United Facility/Professional Professional Modifier Low / Median / High Price $413.61 / $620.41 / $1,048.85	Professional		$413.61	$620.41	$1,048.85