Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.01 / $897.40 / $5,063.00	Facility		$69.01	$897.40	$5,063.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $317.44 / $543.67 / $543.67	Facility	50	$317.44	$543.67	$543.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $61.00 / $144.51	Professional		$40.11	$61.00	$144.51
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $72.94 / $137.22 / $243.98	Professional	50	$72.94	$137.22	$243.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.15 / $80.40 / $108.74	Professional		$48.15	$80.40	$108.74
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $80.41 / $120.60 / $172.76	Professional	50	$80.41	$120.60	$172.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $635.46 / $2,067.41 / $3,851.83	Facility		$635.46	$2,067.41	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.69 / $75.48 / $126.65	Professional		$42.69	$75.48	$126.65
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $64.04 / $113.60 / $189.97	Professional	50	$64.04	$113.60	$189.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.72 / $57.41 / $116.04	Facility		$40.72	$57.41	$116.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.74 / $68.56 / $73.84	Professional		$52.74	$68.56	$73.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.04 / $66.77 / $640.00	Facility		$40.04	$66.77	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.70 / $73.11 / $124.66	Professional		$46.70	$73.11	$124.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.88 / $69.68 / $141.13	Professional		$45.88	$69.68	$141.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.31 / $65.80 / $102.20	Professional		$40.31	$65.80	$102.20
United Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $1,550.00 / $2,665.00	Facility		$175.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $77.98 / $130.24	Professional		$47.86	$77.98	$130.24