Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.09 / $2,572.00 / $6,915.00	Facility		$83.09	$2,572.00	$6,915.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,599.42 / $1,599.42 / $1,599.42	Facility	50	$1,599.42	$1,599.42	$1,599.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.92 / $83.09 / $190.86	Professional		$45.92	$83.09	$190.86
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $313.23 / $313.23 / $343.41	Professional	50	$313.23	$313.23	$343.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.22 / $164.42 / $164.42	Professional		$81.22	$164.42	$164.42
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $147.63 / $246.63 / $246.63	Professional	50	$147.63	$246.63	$246.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,139.92 / $4,143.39	Facility		$734.14	$2,139.92	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.96 / $93.01 / $166.98	Professional		$58.96	$93.01	$166.98
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $88.44 / $139.51 / $250.47	Professional	50	$88.44	$139.51	$250.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.40 / $68.22 / $137.88	Facility		$48.40	$68.22	$137.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.11 / $96.98 / $104.44	Professional		$75.11	$96.98	$104.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.31 / $79.31 / $2,500.00	Facility		$66.31	$79.31	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.20 / $91.74 / $174.28	Professional		$56.20	$91.74	$174.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.23 / $97.46 / $532.00	Professional		$52.23	$97.46	$532.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.58 / $82.00 / $144.94	Professional		$48.58	$82.00	$144.94
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 $66.56 / $107.55 / $182.92	Professional		$66.56	$107.55	$182.92