Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $568.71 / $568.71 / $1,860.34	Facility		$568.71	$568.71	$1,860.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $538.77 / $718.37 / $1,347.74	Professional		$538.77	$718.37	$1,347.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $851.56 / $1,273.80 / $1,691.00	Professional		$851.56	$1,273.80	$1,691.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $898.49 / $1,257.89 / $3,297.46	Facility		$898.49	$1,257.89	$3,297.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $742.43 / $1,290.74 / $2,195.87	Professional		$742.43	$1,290.74	$2,195.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $648.30 / $898.49 / $1,910.70	Facility		$648.30	$898.49	$1,910.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $763.72 / $763.72 / $763.72	Professional		$763.72	$763.72	$763.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $952.31	Facility		$812.83	$812.83	$952.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.37 / $593.37 / $1,021.13	Professional		$593.37	$593.37	$1,021.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $682.85 / $898.49 / $1,589.00	Professional		$682.85	$898.49	$1,589.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $507.51 / $1,104.35 / $1,662.21	Professional		$507.51	$1,104.35	$1,662.21
United Facility/Professional Professional Modifier Low / Median / High Price $548.49 / $822.73 / $1,290.74	Professional		$548.49	$822.73	$1,290.74