Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $717.27 / $4,507.00 / $6,915.00	Facility		$717.27	$4,507.00	$6,915.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $989.25 / $4,126.00 / $7,116.00	Facility	50	$989.25	$4,126.00	$7,116.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $576.62 / $814.88 / $1,917.59	Professional		$576.62	$814.88	$1,917.59
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,155.79 / $2,876.57 / $3,467.37	Professional	50	$1,155.79	$2,876.57	$3,467.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,387.61 / $1,387.61 / $1,387.61	Professional		$1,387.61	$1,387.61	$1,387.61
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $931.83 / $931.83 / $931.83	Professional	50	$931.83	$931.83	$931.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,155.80 / $3,116.30 / $6,315.83	Facility		$1,155.80	$3,116.30	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $717.33 / $1,098.54 / $1,836.54	Professional		$717.33	$1,098.54	$1,836.54
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,075.99 / $1,647.81 / $2,754.81	Professional	50	$1,075.99	$1,647.81	$2,754.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,277.49 / $1,373.25 / $2,108.92	Facility		$1,277.49	$1,373.25	$2,108.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,942.85 / $1,942.85 / $1,942.85	Facility		$1,942.85	$1,942.85	$1,942.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $772.06 / $1,259.51 / $1,874.62	Professional		$772.06	$1,259.51	$1,874.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $736.12 / $984.16 / $1,691.81	Professional		$736.12	$984.16	$1,691.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $861.14 / $1,076.60 / $1,438.27	Professional		$861.14	$1,076.60	$1,438.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $4,826.00 / $7,889.00	Facility		$1,200.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $847.73 / $1,137.71 / $1,878.34	Professional		$847.73	$1,137.71	$1,878.34