Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $417.80 / $417.80 / $1,071.85	Facility		$417.80	$417.80	$1,071.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $417.09 / $527.75 / $662.16	Professional		$417.09	$527.75	$662.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $369.08 / $908.36 / $1,433.49	Professional		$369.08	$908.36	$1,433.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $682.08 / $954.91 / $2,503.23	Facility		$682.08	$954.91	$2,503.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $620.70 / $914.00 / $1,532.38	Professional		$620.70	$914.00	$1,532.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $531.12 / $682.08 / $1,362.54	Facility		$531.12	$682.08	$1,362.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $579.77 / $579.77 / $579.77	Professional		$579.77	$579.77	$579.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $621.29 / $647.80 / $647.80	Facility		$621.29	$647.80	$647.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $472.90 / $472.90 / $857.38	Professional		$472.90	$472.90	$857.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $518.38 / $682.08 / $1,801.00	Professional		$518.38	$682.08	$1,801.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $624.85 / $874.12 / $1,261.84	Professional		$624.85	$874.12	$1,261.84
United Facility/Professional Professional Modifier Low / Median / High Price $377.38 / $566.05 / $904.06	Professional		$377.38	$566.05	$904.06