Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $2,344.23 / $7,079.46	Facility		$54.95	$2,344.23	$7,079.46
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $575.44 / $4,168.69 / $4,168.69	Facility	50	$575.44	$4,168.69	$4,168.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $64.57 / $138.04	Professional		$38.02	$64.57	$138.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $75.86 / $147.91 / $229.09	Professional	50	$75.86	$147.91	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $58.88 / $100.00	Professional		$41.69	$58.88	$100.00
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $74.13 / $117.49 / $165.96	Professional	50	$74.13	$117.49	$165.96
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 $47.86 / $75.86 / $107.15	Professional		$47.86	$75.86	$107.15
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $74.13 / $112.20 / $162.18	Professional	50	$74.13	$112.20	$162.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $51.29 / $70.79	Facility		$42.66	$51.29	$70.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $74.13	Professional		$50.12	$64.57	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $63.10 / $645.65	Facility		$39.81	$63.10	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $69.18 / $120.23	Professional		$44.67	$69.18	$120.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $67.61 / $295.12	Professional		$36.31	$67.61	$295.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $63.10 / $107.15	Professional		$52.48	$63.10	$107.15
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 $38.02 / $60.26 / $109.65	Professional		$38.02	$60.26	$109.65