Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $3,548.13 / $7,413.10	Facility		$102.33	$3,548.13	$7,413.10
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $524.81 / $851.14 / $2,818.38	Facility	50	$524.81	$851.14	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $93.33 / $190.55	Professional		$57.54	$93.33	$190.55
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $114.82 / $229.09 / $467.74	Professional	50	$114.82	$229.09	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $87.10 / $158.49	Professional		$37.15	$87.10	$158.49
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $91.20 / $165.96 / $245.47	Professional	50	$91.20	$165.96	$245.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,089.30 / $3,548.13	Facility		$758.58	$2,089.30	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $109.65 / $162.18	Professional		$75.86	$109.65	$162.18
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $112.20 / $162.18 / $245.47	Professional	50	$112.20	$162.18	$245.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $79.43 / $109.65	Facility		$66.07	$79.43	$109.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $95.50 / $112.20	Professional		$74.13	$95.50	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $645.65	Facility		$95.50	$95.50	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $100.00 / $177.83	Professional		$66.07	$100.00	$177.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $104.71 / $446.68	Professional		$56.23	$104.71	$446.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $165.96	Professional		$87.10	$125.89	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,479.11 / $2,511.89	Facility		$177.83	$1,479.11	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $87.10 / $151.36	Professional		$56.23	$87.10	$151.36