Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,715.35 / $6,309.57	Facility		$933.25	$3,715.35	$6,309.57
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,981.07 / $4,168.69 / $12,302.69	Facility	50	$3,981.07	$4,168.69	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $407.38 / $1,071.52	Professional		$134.90	$407.38	$1,071.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $257.04 / $630.96	Professional		$141.25	$257.04	$630.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,884.03 / $4,786.30	Facility		$1,071.52	$2,884.03	$4,786.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $478.63 / $1,023.29	Professional		$181.97	$478.63	$1,023.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $208.93 / $295.12	Facility		$181.97	$208.93	$295.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $1,000.00	Professional		$562.34	$562.34	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $467.74 / $1,230.27	Professional		$208.93	$467.74	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $251.19 / $724.44	Professional		$134.90	$251.19	$724.44
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $5,495.41 / $5,888.44	Facility		$2,511.89	$5,495.41	$5,888.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $676.08 / $758.58	Professional		$213.80	$676.08	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,090.30 / $5,370.32	Facility		$602.56	$3,090.30	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $562.34 / $1,174.90	Professional		$165.96	$562.34	$1,174.90