Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $3,019.95 / $7,413.10	Facility		$79.43	$3,019.95	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $74.13 / $158.49	Professional		$39.81	$74.13	$158.49
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $26.30 / $125.89 / $199.53	Professional	50	$26.30	$125.89	$199.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $74.13 / $109.65	Professional		$44.67	$74.13	$109.65
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 $48.98 / $79.43 / $109.65	Professional		$48.98	$79.43	$109.65
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $75.86 / $120.23 / $165.96	Professional	50	$75.86	$120.23	$165.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $53.70 / $74.13	Facility		$44.67	$53.70	$74.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $67.61 / $77.62	Professional		$52.48	$67.61	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $66.07 / $645.65	Facility		$39.81	$66.07	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $74.13 / $125.89	Professional		$47.86	$74.13	$125.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $70.79 / $309.03	Professional		$37.15	$70.79	$309.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $66.07 / $109.65	Professional		$56.23	$66.07	$109.65
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 $39.81 / $64.57 / $112.20	Professional		$39.81	$64.57	$112.20