Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.21 / $2,221.00 / $6,726.00	Facility		$53.21	$2,221.00	$6,726.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $520.85 / $520.85 / $520.85	Facility	50	$520.85	$520.85	$520.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.68 / $55.39 / $123.72	Professional		$36.68	$55.39	$123.72
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $117.80 / $139.00 / $210.81	Professional	50	$117.80	$139.00	$210.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.72 / $64.20 / $100.56	Professional		$30.72	$64.20	$100.56
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $48.61 / $111.13 / $160.79	Professional	50	$48.61	$111.13	$160.79
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 $43.61 / $69.03 / $117.88	Professional		$43.61	$69.03	$117.88
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $65.41 / $103.54 / $176.82	Professional	50	$65.41	$103.54	$176.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.13 / $52.22 / $105.99	Facility		$37.13	$52.22	$105.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.85 / $63.28 / $68.15	Professional		$48.85	$63.28	$68.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.15 / $60.85 / $640.00	Facility		$39.15	$60.85	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.12 / $67.48 / $113.51	Professional		$43.12	$67.48	$113.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.89 / $64.20 / $130.51	Professional		$41.89	$64.20	$130.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.43 / $59.88 / $93.87	Professional		$37.43	$59.88	$93.87
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 $44.17 / $72.59 / $120.50	Professional		$44.17	$72.59	$120.50