Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.32 / $2,171.00 / $5,595.00	Facility		$55.32	$2,171.00	$5,595.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $577.59 / $577.59 / $4,126.00	Facility	50	$577.59	$577.59	$4,126.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.09 / $55.91 / $123.56	Professional		$38.09	$55.91	$123.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $78.26 / $150.13 / $229.40	Professional	50	$78.26	$150.13	$229.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.03 / $76.34 / $109.83	Professional		$43.03	$76.34	$109.83
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $67.65 / $142.36 / $149.33	Professional	50	$67.65	$142.36	$149.33
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 $45.35 / $72.68 / $120.77	Professional		$45.35	$72.68	$120.77
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $68.03 / $109.02 / $181.15	Professional	50	$68.03	$109.02	$181.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.15 / $53.66 / $108.93	Facility		$38.15	$53.66	$108.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $49.79 / $64.48 / $69.45	Professional		$49.79	$64.48	$69.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.61 / $62.56 / $640.00	Facility		$39.61	$62.56	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.86 / $69.83 / $120.99	Professional		$44.86	$69.83	$120.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.06 / $65.43 / $132.90	Professional		$43.06	$65.43	$132.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.49 / $61.14 / $95.69	Professional		$38.49	$61.14	$95.69
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 $46.05 / $74.20 / $123.45	Professional		$46.05	$74.20	$123.45